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Cure Core Solutions

Allergy & Immunology Billing – Made Simple with Cure Core Solutions

Billing for Allergy and Immunology isn't just about submitting claims — it's about understanding complex coding, coverage limitations, and seasonal patient surges. At Cure Core Solutions, we provide end-to-end RCM services customized for allergists and immunologists.

Whether you're managing high-volume in-office allergy testing, biologics, or immunotherapy injections, we ensure compliance, coding precision, and timely reimbursements. Our expert team navigates payer-specific rules, Medicare and commercial policies, and billing nuances so you can focus on what matters most — patient care.

Why Choose Cure Core Solutions for Allergy & Immunology Billing?

  • 🔹 Certified Billing & Coding Experts in Allergy, ENT, and Internal Medicine
    🔹 Accurate CPT/ICD-10 Mapping for skin testing, biologics, immunotherapy, and more
    🔹 Insurance Eligibility & Benefit Verification
    🔹 Modifiers & NDC Code Management for injectable therapies
    🔹 Appeals & Denial Resolution for High-Cost Biologics
    🔹 HIPAA-Compliant EHR/PM Integration
    🔹 Real-Time Claim Monitoring + Custom Reports

Skin Prick Testing

Intradermal Allergy Testing

Allergen Immunotherapy (SCIT/SLIT)

Spirometry & Pulmonary Function Tests

Drug Desensitization

Food Allergy Testing

Biologic Drug Administration (e.g., Xolair, Nucala, Dupixent)

Patch Testing

Allergy Panels

Venom Testing & Immunotherapy

Common Allergy & Immunology Procedures We Bill For

Top 20 CPT Codes in Allergy & Immunology

Percutaneous (prick) allergy skin tests

Intradermal allergy tests

Professional services for allergen immunotherapy; single injection

Allergen immunotherapy; multiple injections

Preparation of allergen extract vials

Unlisted allergen immunotherapy service

Therapeutic injection; subcutaneous or intramuscular

Chemotherapy administration, non-IV

Office visit, established patient (moderate complexity)

Office visit, established patient (high complexity)

 

Office visit, new patient (moderate complexity)

Office visit, new patient (high complexity)

Inhalation treatment for acute airway obstruction

Allergen-specific IgE (blood test)

Noninvasive oximetry

Spirometry, including graphic record

Bronchodilation responsiveness testing

 

Patch or application tests (delayed-type hypersensitivity)

Cure Core’s Allergy Billing Workflow

    1. Patient Registration & Insurance Verification
    2. Medical Coding (ICD-10, CPT, HCPCS, Modifiers)
    3. Prior Authorization Handling for biologics and injectables
    4. Claim Scrubbing & Submission
    5. ERA/Payment Posting
    6. AR Follow-Up & Denial Management
    7. Patient Billing & Statement Generation
    8. Compliance Auditing & Revenue Reporting

Frequently Asked Questions

Insurance typically covers percutaneous (95004), intradermal (95024), and patch testing (95044) if medical necessity is clearly documented. Some plans also cover food or drug allergy testing.

Yes. Most commercial insurers and Medicare Advantage plans require prior authorization for these drugs, and billing must include the proper NDC code and documentation.

Our coders understand how to bundle/unbundle services appropriately using modifiers (e.g., 25, 59) to ensure compliance and reimbursement.

Absolutely. Our clean claim rate exceeds 98%, and we actively manage denials, rejections, and appeals with payer-specific strategies

Yes. Whether you’re a solo allergist or a large multi-specialty group, we scale our services to your needs and provide a dedicated account manager.

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