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CPT 95027: Percutaneous Airborne Allergen Skin Prick Testing with Interpretation
CPT code 95027 represents percutaneous (skin prick) testing using sequential and incremental airborne allergenic extracts to identify immediate hypersensitivity reactions. The procedure includes interpretation and a report that specifies the number of tests performed. This code is widely used in outpatient allergy and immunology settings and matters nationally because accurate coding ensures appropriate clinical documentation, claims processing, and consistent capture of allergy diagnostic encounters across payer systems.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical context for skin prick testing, typical sites of service, and the elements captured by the code. The publication also summarizes common modifiers associated with allergy testing claims and highlights areas where policy guidance or documentation practices commonly affect reimbursement and claim adjudication.
This analysis provides practical, policy-focused content: a clear explanation of the code’s clinical meaning, documentation elements reflected by the code, and what to expect in payer policies at a national level. Data not available in the input is noted where applicable; the focus remains on establishing a concise reference for clinicians, coders, and policy analysts working with allergy diagnostic services billed under CPT code 95027.
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Billing Code Overview
CPT code 95027 describes a provider-performed skin prick testing procedure in which sequential and incremental airborne allergenic extracts are introduced into the skin to determine immediate allergic response. The clinician interprets the results and documents findings in a report that specifies the number of tests performed.
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Service type: Diagnostic allergy testing using percutaneous (skin prick) technique
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Typical site of service: Outpatient clinic or office-based allergy/immunology practice; may also be performed in hospital outpatient departments