Louisiana Administrative Code
Title 40 - LABOR AND EMPLOYMENT
Part I - Workers' Compensation Administration
Subpart 2 - Medical Guidelines
Chapter 51 - Medical Reimbursement Schedule
Section I-5129 - Allergy and Clinical Immunology
Universal Citation: LA Admin Code I-5129
Current through Register Vol. 50, No. 9, September 20, 2024
A. Procedure Codes 95004-95199 must be billed for allergy testing and allergy immunotherapy.
B. When billing for allergy tests, enter the appropriate CPT procedure code in Item 24-D of the HCFA 1500 Form.
1. Enter the total number of
tests performed in Item 24-G.
2.
Enter the total amount charged for the procedure code in Item 24-F.
3. Allergy skin testing is reimbursed on a
per test basis.
C. When billing for test where antigens are specified in the descriptor, the appropriate procedure code must be entered in Item 24.
1. Enter the total number of antigens in Item
24-G.
2. Enter the provider's usual
total charge in Item 24-F.
3.
Reimbursement is based on a per antigen basis.
AUTHORITY NOTE: Promulgated in accordance with R.S. 23:1034.2.
Disclaimer: These regulations may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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