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Allergy testing immunotherapy

These services may or may not be covered by all CoOportunity Health plans. Please see your plan documents for your own coverage information. If there is a difference between this general information and your plan documents, your plan will be used to determine your coverage.

Administrative process

Prior authorization is not required for allergy testing immunotherapy.

Coverage

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Allergy testing is generally covered subject to the indications listed below and per your plan documents. Testing methods not generally considered standard medical procedure are generally not covered. - See the indications section below.

Immunotherapy (desensitization) is generally covered as long as it is consistent with generally accepted standard medical procedure.

Indications that are covered

  1. RAST testing
  2. Puncture tests (scratch, puncture, pricks)
  3. Patch application tests
  4. Intradermal tests
  5. Provocative testing for antibiotics and biologicals

Indications that are not covered

  1. Cytotoxicity testing (Bryans test);
  2. Urine autoinjection (autogenous urine immunization)
  3. Skin titration (Rinkel method)
  4. Provocative and neutralization testing that is done subcutaneously
  5. Provocative testing done sublingually (SLIT) (including the drop bottle for sublingual allergy)

Definitions

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Sublingual immunotherapy (SLIT) refers to allergy testing and treatment performed under the tongue (sublingual). (See indications that are not covered.)

Codes

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If available, codes are listed below for informational purposes only, and do not guarantee member coverage or provider reimbursement. The list may not be all-inclusive.

 

This information is for most, but not all, CoOportunity Health plans. Please read your plan documents to see if your plan has limits or will not cover some items. If there is a difference between this general information and your plan documents, your plan documents will be used to determine your coverage.

CoOportunity Health has contracted with HealthPartners Administrators, Inc. to provide claims processing, medical management and certain other administrative services.