Fee Navigator®

    Health Service Code 13.42A

    Desensitization treatments with allergy serums

    1. When performed by physician or under physician supervision.
    2. A maximum of one office visit per month may be claimed for reassessment of the patient in lieu of a claim for desensitizing injection.
    3. Benefit includes cost of all material other than allergy serum.
    4. Only one benefit may be claimed per treatment regardless of number of injections given.
    Common terms:
    • sub-lingual desensitization
    Category:M Minor Procedure
    Base rate:$23.70

    AMA billing tips:

    • 13.42A can be used for sub-lingual desensitization treatments, the same rules apply to the sub-lingual desensitization as they do for the allergy injections.

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    LVPLVP75YesReduce Base To75%

    Governing Rules: