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Procedure 95076 Ingestion Challenge

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Thread Topic: Procedure 95076 Ingestion Challenge


Topic Originator: Marie Spagnoli
Post Date March 28, 2019 @ 10:58 AM
Procedure 95076 Ingestion Challenge Procedure 95076 Ingestion Challenge

Procedure 95076 Ingestion Challenge

Marie Spagnoli
Procedure 95076 Ingestion ChallengeMarch 28, 2019 @ 10:58 AM Reply  |  Email Friend   |  |Print  |  Top

My physician and myself and having a dispute about this procedure and the actual amount of time that needs to be documented to bill for the procedure

It clearly states in the CPT 2019 Book that the "Initial 120 min" for 95076, but my boss found documentation through ACAAI organization that states "a minimum of 61 minutes (more than 50% of the total time for the code) must be spent on this challenge before you are eligible to bill this code"

Our dispute is can I bill for 95076 even though he only kept the patient for 61 min or bill for an office visit since the time is less than 120min as stated in the CPT 2019 book?

Thank you so much in advance for help with this matter.

Marie Spagnoli



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