Medical Policy Updates

Table Of Contents

Notification of Policy Revisions Effective July 29, 2014 (Posted May 27, 2014)

Medical Policy Revision
Allergy Immunotherapy (Desensitization) "Notification" Policy Guidelines updated. References updated. Added the following statement to the "When not Covered" section: "Subcutaneous immunotherapy performed in the home setting is considered investigational." Added the following statement to the Billing/Coding section: "Per unit reimbursement for allergy immunotherapy is based on the number of dosages prepared and intended for administration. Allergy immunotherapy is limited to 180 units for the first year of therapy during escalation, and 120 units for yearly maintenance therapy thereafter." Medical Director review 5/2014. Policy noticed on May 27, 2014 for effective date July 29, 2014.
Maximum Units of Service "Notification" Per unit reimbursement for allergy immunotherapy is based on the number of dosages prepared and intended for administration. Allergy immunotherapy is limited to 180 units for the first year of therapy during escalation, and 120 units for yearly maintenance therapy thereafter. Policy noticed on May 27, 2014 for effective date July 29, 2014.