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.
🔹 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
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)
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.