Allergy Billing,
Engineered for Precision.
Allergy Testing
Scanning Zone...Select a clinical focus area on the scanner or list below to reveal the specific CPT codes, unit metrics, and documentation standards our certified coders master to secure your immunology revenue.
Allergy Testing (In-Vivo & In-Vitro)
Precise billing for percutaneous tests (95004), intracutaneous tests (95024), and patch testing (95044). We strictly monitor unit counts per claim to prevent Medically Unlikely Edit (MUE) denials from exceeding payer-specific maximum allowable test units.
Immunotherapy (Preparation & Admin)
Expert distinction between the preparation of antigens (95165) and the administration of the injection (95115/95117). We track vial unit counts meticulously over time to ensure you capture the full allowable dosage without triggering frequency denials.
Asthma & Pulmonary Testing
Accurate coding for spirometry (94010), fractional exhaled nitric oxide (FeNO), and bronchospasm evaluations. We ensure precise linking of pulmonary diagnoses and correct modifiers (e.g., 26 for professional component) to safeguard reimbursements.
Biologics & High-Cost Drugs
Navigating strict prior authorization rules for high-cost biologics like Xolair, Nucala, Fasenra, and Dupixent. We capture every milligram, properly utilizing J-codes alongside administration codes and mandated wastage modifiers (JW/JZ).
Allergy Billing is Complex.
We Make It Profitable.
Immunotherapy Bundling
The HBS Solution
We implement strict 12-month unit tracking mechanisms per patient. Our coders understand exactly how to separate preparation from administration, submitting bulletproof claims that respect payer-specific MUE limits.
Biologic Drug Wastage
Failing to properly document and bill for discarded amounts of single-use vial biologics (like Xolair) results in massive revenue loss on high-cost drugs.
The HBS Solution
We strictly audit J-codes against NDC data, ensuring the JW modifier (discarded drug) or JZ modifier (zero discarded) is appended perfectly to satisfy Medicare and commercial payer mandates.
E&M + Same-Day Testing
Billing an Evaluation & Management (E&M) code on the same day as extensive allergy testing triggers immediate audits and “Modifier 25” denials.
The HBS Solution
The HBS Immunology Advantage
98% First-Pass Clean Claim Rate
Our proprietary scrubbing engine catches MUE limit errors and missing J-code modifiers before the claim ever leaves our system.
48-Hour Turnaround
Supercharge your cash flow. We guarantee that your superbills and testing reports are coded and billed within 48 hours of receipt.
Prior Authorization Desk
We handle the grueling paperwork and peer-to-peer setups required to get high-cost biologics approved rapidly.
Stop Allergy Denials Today.
Let our specialized immunology billing team audit your current processes. Discover exactly where your revenue is leaking on units and drug codes.