Billing and Coding
Important Disclaimer:
Nationwide Allergy is not a licensed medical coder or biller. While any provided examples represent our best efforts to provide accurate information, we cannot guarantee the accuracy of the provided examples. As CPT®, ICD-10-CM and HCPCS codes
often change annually, you should reference the current CPT®, ICD-10-CM and HCPCS manuals and
follow the "Documentation Guidelines for Evaluation and Management Services" for the most
detailed and up-to-date information. It is always important to contact your individual payors directly including commercial, Medicaid, Medicare or any others for guidance on most current and compliant billing practices.
Any information from Nationwide Allergy is taken from publicly available sources. Nationwide Allergy cannot guarantee accuracy, therefore any use of said information does not imply assumption of liability or responsibility for reimbursement or even legal compliance for billing and coding services Nationwide Allergy has no involvement with or for services as an outcome of the information and/or data used and disclaims any responsibility for denial of reimbursement. This information is intended for informational purposes only.
Current Procedural Terminology (CPT©) is copyright and trademark of the 2016 American Medical
Association (AMA). All Rights Reserved. No fee schedules, basic units, relative values, or related
listings are included in CPT©. Nationwide Allergy assumes no liability for the data contained herein.
All medical coding must be supported with documentation and medical necessity determined solely by the rendering
provider.
Comments, information or education (collectively referred to as “information”) provided by the
coding specialists and staff sourced by Nationwide Allergy may reflect their current understanding
of the proper use and application of CPT®, ICD, HCPC codes, and claims modifiers but do not imply that they are the opinions or recommendations of Nationwide Allergy.
The information provided is solely intended as general information. Ultimately, it is the provider’s
responsibility to determine medical necessity, and to correctly submit appropriate codes,
charges, and modifiers for services that are rendered. The coverage and payment
requirements of both government and private payor plans are quite complex, often vary and
are subject to frequent change. Any billing information provided by Nationwide Allergy or its staff is
intended as general information only.
Nationwide Allergy and its staff cannot make any
representations regarding the appropriateness of use or the likelihood of reimbursement with
respect to a specific code. Any information provided by Nationwide Allergy and its staff is for
informational purposes only, and is not meant as a substitute for professional medical and/or
legal advice, both of which should be obtained independently from qualified professionals.
All third-party vendors are independently responsible for their work and Nationwide Allergy does
not warrant or accept any responsibility for the services they may provide.