Burdensome and unreasonable requests for documentation regarding CPT 95165, 95115 and 95117 services have threatened the ability of allergists/immunologists and otolaryngologists to administer allergen immunotherapy and hinders the ability of patients with allergic conditions to obtain relief. In response, we’ve developed the Payer Education Campaign to help allergists/immunologists educate payers about immunotherapy and provide guidance for the treatment and appropriate documentation for the service.
- The 95165 Consensus Paper – “Guidance for the evaluation by payors of claims submitted using Current Procedural Terminology codes 95165, 95115, and 95117,” Annals of Allergy, Asthma & Immunology, January 2025.
- Summary sheet of the 95165 Consensus Paper reasonable and unreasonable requests for documentation, January 2025
- ACAAI meets with CMS re: definition of a dose, May 30, 2025
- The Advocacy Council reaches out to the Top 25 U.S. Health Insurance Carriers, May 15, 2025
- The College requests that CMS change their definition of a dose, April 11, 2025
- We’re knocking on United Healthcare’s door, March 7, 2025
- The National Government Services MAC Update, February 17, 2025
- The Noridian MAC Update, December 20, 2024
- Letter to Anthem, December 9, 2024
- The Palmetto MAC Update, October 22, 2024
Allergists David Stukus, MD, Nicole Chase, MD, and Cherie Zachary, MD, discuss why appropriate compensation for allergy treatment is so important.
Allergist J. Allen Meadows, MD, explains how insurance rejections affect patients.
Allergists Cherie Zachary, MD, and Travis Miller, MD, explain how allergists are specially trained to prepare allergy shots for each individual patient to treat their specific allergies.
Allergists Nicole Chase, MD, and J. Allen Meadows, MD, explain how allergy shots work and how can they help change your immune system to deal with your allergies.
