Posted in Insurance, Payers and CPT reinbursement

1199 payer and cpt code 95012

Have a lot of asthma patients?…Then this post is for you.

CPT code for NIOX testing is 95012

NIOX is a common test that Pulmonologists and Allergists/Immunologists administer to Asthma patients.

However, the reimbursement for this code veries from payer to payer.

In this post we are lookong at 1199 which only pays for Two (2) 95012 codes, perfomed in a calendar year.

Do you have a lot of denials from 1199 for (limit met)?… check out how many of 95012 you performed for that patient, per calendar year.

If you have any other questions, about this payer or any other, please feel free to contact me for a free GAP Analysis- valid 9/1/2017 to 12/31/2017.



My name is Kate Patskovska, CPB. I am an Independent Medical Biller CPB (AAPC) and an owner of KR2 Medical Billing. KR2 Medical Billing is a full service Consulting/Medical Billing Business that is dedicated to educating, consulting, and overall improving the "financial health" of your medical practice.

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