Allergen Testing and Treatment

Policy Update #: POLATT080124

Effective Date: August 1, 2024

Current State: CPT Code 95165 allows 30 units per day

Future State: Effective August 1, 2024, the allowance limit for code 95165 has been updated to allow a 150-unit limit for the initial year of treatment and a 120-unit limit for subsequent years of treatment. An authorization will be required for units exceeding these limits. Applicable Plan(s): Medicaid Applicable Policy: Policy Number: 4394

Business Owner: Cost of Care

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Allergen Testing and Treatment.pdf