Billing Information

Billing Information

Payment with Specimen

When patient payment (check or credit card) accompanies the specimen, PROFESSIONAL PRICES are charged. A receipt is mailed to the patient confirming payment and specifying the number of tests performed.

Professional Account

If the Physician or clinic chooses to be billed for the cost of the tests, payment may be rendered upon receipt of monthly statement.

Insurance Billing

Serolab will bill the patient’s insurance company or accept assignment from Medicare and Medicaid (states in which Serolab is contracted) if:

  • The appropriate Insurance/Medicare/Medicaid information is submitted with the specimen.
  • The diagnosis code (ICD-10) is provided.
  • The patient is informed of the PATIENT PRICE
  • The patient signs the form acknowledging he/she is responsible for any amount not paid by insurance and providing a medical release authorization for this billing.

COMMON CPT CODES FOR INSURANCE CLAIM SUBMISSION

   DIAGNOSTIC SERVICES
Service CPT Code* Description
New Patient Work-up 99201
99202
99203
99204
99205
History, examination, evaluation and management of new patient (specific code used depends on time Physician spends with patient; generally, interpretation of lab results is included in these codes)
Blood Collection 36415 Routine venipuncture or finger/heel/ear stick for collection of specimen(s)
Serum Separation/
Transport
99000 Handling and/or conveyance of specimen for transfer from Physician’s office to a laboratory
Allergens – IgG 86001 Allergen specific IgG; quantitative or semi-quantitative, each allergen
Allergens – IgE 86003 Allergen specific IgE; quantitative or semi-quantitative, each allergen
Micro-Screen 86005 Qualitative, multi-allergen screen (dipstick, paddle or disk)
Total IgE 82785 Gamaglobulin IgE
Gamaglobulin G,A,M 82784 Gamaglobulin; IgA, IgD, IgE, IgM, each
IgG Subclasses 82787 Immunoglobulin subclasses (IgG 1, 2, 3 and 4)
   ALLERGY THERAPEUTICS
Service CPT Code* Description
Treatment Set 95165 Professional services for the supervision and immunotherapy; single or multiple antigens, multiple dose vial(s), (specify number of doses) provision of antigens for allergen
Maintenance Dose Vial 95165 Professional services for the supervision and provision of antigens for allergen immunotherapy; single or multiple antigens, multiple dose vial(s), (specify number of doses)
Vial Test 95024 Intracutaneous (intradermal) tests with allergic extracts, immediate type reaction, specify number of tests
Allergy Injection 95115 Professional services for allergen immunotherapy not including provision of allergic extracts; single injection
Allergy Injections 95115 Multiple injections
Treatment 99211 Evaluation and management of established patient; that may not require the presence of a Physician
Treatment Review 99212
99213
99214
99215
History, examination, evaluation and management of an established patient (specific code used depends on time Physician spends with patient)

*CPT Codes are subject to change without notice. Please contact Serolab for current codes.

Suggestions For Claim Submissions

Indicate to the third party being billed if the RAST test was performed for the following reasons:

  • Skin testing was deemed unsatisfactory due to any of the following patient conditions:
    • Generalized Dermatitis
    • Urticaria
    • Angioedema
    • Atopic Dermatitis
    • Eczamatoid Dermatitis
    • Dermatographia
    • Pyoderma
    • Non-Specific Dermatitis
    • Hyperactive Skin
    • Hyporeactive Skin (aged or infant)
    • Discordant response to skin testing controls
    • Discordant results from previous skin testing technique
    • Previous immunotherapy failure based on skin testing
    • Previous history of false positive/negative skin test response
    • Skin testing is traumatic to patient
  • Pharmacotherapy is interfering with skin test response:
    • Chronic antihistamine use (all classes)
    • Long acting antihistamines (Allegra, Clarinex, Zyrtec)
    • Psychotrophic drug with antihistamine effects (Phenothiazine/antidepressants)
  • The patient is undergoing pharmacotherapy potentially interfering with skin test response:
    • Theophylline
    • Beta agonist
    • Steroids
  • RAST is the Physician’s procedure of choice.
  • RAST is the patient’s preference.
  • There is a need for specificity as well as sensitivity in diagnosis.
  • There is a need to eliminate non-IgE disease as the offender (i.e., vasomotor rhinitis, asthma, infectious asthma, sinusitis, El asthma, frequent URI etc,).
  • The patient has a condition which would render skin testing impossible.

It is suggested that a thorough and comprehensive account of the above conditions be submitted with the insurance claim in order to enhance third party reimbursement.