Allergy & Immunology Billing That Pays What You Earn
Allergy and immunology billing requires specialty expertise in skin testing coding, allergen immunotherapy preparation billing, subcutaneous and sublingual immunotherapy injection billing, and the prior authorization process for biologic agents like dupilumab and omalizumab. Skin testing codes are billed per test with payer-specific unit limits, and immunotherapy vial preparation (95165) must be documented by antigen count. 360Solutions provides allergy billing specialists who maximize testing revenue, manage immunotherapy program billing, and navigate biologic auth with precision.
Where Allergy & Immunology Practices Lose Revenue
These are the coding and billing pitfalls that cost allergy & immunology practices the most — and where our specialised billers add the most value.
Allergy Skin Testing Coding
Percutaneous (95004) and intracutaneous (95024/95044) skin testing codes are billed per test. Most payers allow up to 70 or more tests per encounter, but unit limits vary. Undercounting tests billed — or exceeding payer limits — both cost the practice money.
Immunotherapy Vial Preparation
Allergen preparation (95165) is billed per dose for multi-dose vials, not per vial. Many practices bill one unit per vial instead of per dose, significantly undercoding their preparation revenue. Accurate antigen count documentation is required for audit defense.
SCIT & SLIT Injection Billing
Subcutaneous immunotherapy injections (95115 for single antigen; 95117 for multiple antigens) and sublingual drops/tablets each have specific codes. Practices frequently mismatch the injection code to the vial type or miss the supervision requirement documentation.
Biologic Prior Auth
Dupilumab (Dupixent) for asthma, eczema, and CRSwNP, and omalizumab (Xolair) for allergic asthma and urticaria, require prior auth with IgE levels, skin test results, and failed conventional therapy documentation. We manage the full auth lifecycle for every biologic.
High-Risk CPT Groups
Code ranges payers audit most aggressively in Allergy & Immunology.
Common Denial Patterns
Knowing these before submission is the difference between a 60% and a 96% first-pass rate.
Skin testing units exceed payer maximum per date of service
Immunotherapy vial preparation billed per vial rather than per dose (95165)
Injection code mismatch — single antigen code used for multi-antigen vial
Biologic auth obtained for wrong indication (asthma vs. CRSwNP vs. atopic dermatitis)
Scratch testing and intradermal testing billed on same date beyond payer limits
Send us your last 90 days of remittance data — we'll identify your top 3 fixable denial sources at no cost.
Request Free Audit →How 360Solutions Works for Allergy & Immunology Practices
Free 2-Week Billing Audit
We review your last 90 days: denial breakdown by category, AR aging by payer, charge lag, collection rate, and any recurring coding issues specific to your specialty. No commitment required.
Specialty Coder Assignment
You are paired with a coder trained specifically in allergy & immunology coding. They learn your providers, your documentation patterns, and your payer mix before touching a claim.
Parallel Billing Transition
We run alongside your current billing for 10–14 days with zero cash flow disruption. Claims keep moving during the transition. Your account manager provides daily status updates.
Live KPI Dashboard
Real-time visibility into billed, paid, denied, AR aging, and collection rate — segmented by provider and payer. No black box, no month-end surprises.
Weekly Account Manager Call
Every week your dedicated account manager walks through last week's KPIs, denial trends, and any action items. Critical issues are escalated the same day — not at the next scheduled call.
Questions From Allergy & Immunology Practices
Start With a Free,
No-Obligation Audit
Two weeks, no contract. A certified allergy & immunology billing specialist reviews your claims, denial patterns, and AR — and shows you exactly what is recoverable.