About this policy
The information in this article contains billing, coding or other guidelines that complement the Local Coverage Determination (LCD) for Allergy Skin Testing L33417.
Documentation requirements
Title XVIII of the Social Security Act, §1833(e) prohibits Medicare payment for any claim which lacks the necessary information to process the claim.
Appropriate ICD-10-CM diagnosis code(s) that support medical necessity must be reported on the claim for the corresponding CPT/HCPCS code(s) per procedure-to-diagnosis editing.
Z51.6* should not be billed as a primary diagnosis code on the claim.
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
| Code | Code system | Status in this policy |
|---|---|---|
| 95004 | HCPCS | Covered |
| 95017 | HCPCS | Covered |
| 95018 | HCPCS | Covered |
| 95024 | HCPCS | Covered |
| H10.11 | ICD10CM | Covered |
| H10.12 | ICD10CM | Covered |
| H10.13 | ICD10CM | Covered |
| H10.411 | ICD10CM | Covered |
| H10.412 | ICD10CM | Covered |
| H10.413 | ICD10CM | Covered |
| H10.419 | ICD10CM | Covered |
| H10.44 | ICD10CM | Covered |
| H10.45 | ICD10CM | Covered |
| H16.261 | ICD10CM | Covered |
| H16.262 | ICD10CM | Covered |