2025 CPT code 95125
(Active) Effective Date: N/A Revision Date: N/A Allergy and Clinical Immunology Procedures - Allergen Immunotherapy Medicine Services and Procedures > Allergy and Clinical Immunology Procedures Feed
Allergen immunotherapy involving two or more injections; provider prepares extract and administers injections.
Modifiers 25, 52, 53, 76, 77, 79 may be applicable depending on the specific circumstances of the service.
Allergen immunotherapy is medically necessary for patients with significant allergic reactions that interfere with their daily life or pose a risk of severe anaphylaxis.The decision for immunotherapy should be based on clinical judgment and allergy testing results.The ongoing medical necessity should be assessed regularly.
The physician prepares the allergen extract and administers the injections.This involves assessing the patient's allergies, determining the appropriate allergen extract and dosage, administering the injections, monitoring for adverse reactions, and providing patient education.
In simple words: This code covers allergy shots.The doctor prepares the allergy medicine and gives two or more shots in one visit as part of a series of allergy shots to help you get used to things you're allergic to.
This CPT code, 95125, represents professional services for allergen immunotherapy provided in a physician's office or institution.It includes the preparation of the allergenic extract and the administration of two or more injections during a single session.The procedure is part of a series of injections administered over time, gradually increasing the quantity of the specific allergenic extract to achieve clinical tolerance.
Example 1: A patient with seasonal allergies to ragweed undergoes a series of immunotherapy injections.Code 95125 is used for each visit where two or more injections are administered., A patient with multiple allergies (e.g., pollen, dust mites, pet dander) receives a cocktail of allergen extracts.Code 95125 is reported for each visit with two or more injections., A patient with a severe peanut allergy is receiving allergen immunotherapy. At each visit, two or more injections are given to incrementally increase tolerance. Code 95125 is reported.
* Detailed allergy history and testing results.* Documentation of the allergen extract used (name, concentration).* Number of injections administered at each session.* Record of the patient's response to each injection (any adverse reactions).* Patient education materials given.
** Always refer to the most current CPT codebook and guidelines for the most accurate information.
- Revenue Code: M5D (SPECIALIST - OTHER)
- Payment Status: Active
- Modifier TC rule: Not applicable.This code represents the entire procedure.
- Specialties:Allergists/Immunologists, Family Medicine, Pediatrics
- Place of Service:Office, Outpatient Hospital, Clinic