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A patient came to the office today for her allergy injection. You billed a 99213 and...

A patient came to the office today for her allergy injection. You billed a 99213 and the allergy injection. Would you expect the claim to process or deny? Justify

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Answer #1

The claim for expenditure can be processed if it is an emergency allergic reaction. There are chronic management for allergy and acute allergic management.

Chronic management include administration of steroids and antihistamine medications. Even though acute management also includes steroids it should be administered immediately along with adrenaline. Sometime patient needs oxygen therapy and ventilatory support. In such scenario claim can be procesed.

In chronic allergy claim is not possible. But question is not clear how the patient is managed, what medication given, hospital admission etc..

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