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CPT 95060: Ocular Allergy Testing, Technical Component
CPT code 95060 denotes the technical component of ocular allergy testing used to detect and measure allergic reactions affecting the eye. Nationally, this service supports diagnosis and management of allergic conjunctivitis and related ocular hypersensitivity conditions by isolating causative allergens and documenting response severity. The code separates technical laboratory or testing work from professional interpretation, affecting billing splits between providers and facilities.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an explanation of the clinical purpose of the code, typical sites of service, and the service type. The publication outlines common billing considerations tied to technical-component reporting, payer coverage patterns, and how this code fits into allergy and ophthalmology service lines. It also summarizes typical modifiers and payer interactions where available, and notes when input data is not provided.
This brief equips billing staff, practice managers, and policy analysts with a concise reference to the code’s clinical context, the payers commonly involved, and the categories of information to consult when applying the code in practice. Data not available in the input is identified explicitly where applicable.
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Billing Code Overview
CPT code 95060 represents the technical component of ocular allergy testing performed to evaluate the eye for allergic reactions. The service involves testing the patient’s eye to identify specific allergens and quantify the degree of allergic response. This code covers the technical aspects of specimen handling, test execution, and processing rather than the professional interpretation.
Service type: Allergy testing — ophthalmic (technical component)
Typical site of service: Outpatient clinic or ambulatory care setting (eye clinic, allergy clinic, or ophthalmology practice)