Posted in #aetna, Training, Updates

AETNA: Allergy Testing Update- 06/01/21

As per Aetna March Bulletin– when the provider is going to perform/bill allergy testing codes (95004-95079) with the code 95180 (rapid desensitization); AETNA will deny allergy testing and consider it mutually exclusive to rapid desensitization.

This change will become affective as of 06/01/2021

Allergy Skin Prick Testing (95004)

In order to not get this type of denial, providers will have to do allergy testing (95004-95079) on a separate date as a rapid desensitization (95180).

Example Billing:

DOS 1: 99204-25, 95004 (40)-59, 95012-59

DOS 2: 99213-25, 95180 (Q)

#Aetna, #allergy, #allergytesting, #environmental, #food


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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