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Medical Billing · Nationwide

Allergy, Asthma & Clinical Immunology Medical Billing Services

Percutaneous skin prick and intracutaneous testing, allergen immunotherapy antigen compounding (95165), desensitization injections, and biologic asthma J-codes.

Aethera Healthcare Solutions provides full-service medical billing and revenue cycle management to allergists, immunologists, and asthma care clinics across the United States. We handle coding, claims, payment posting, denial management, and A/R follow-up end to end — so your team can stay focused on patient care while your revenue cycle runs cleanly.

Typical allergy, asthma & clinical immunology CPT range we work: 95004, 95024, 95165, 95115, 95117, 94010, 94060, J0517, J2357.

Why allergy, asthma & clinical immunology billing leaks revenue

Antigen compounding (95165) unit conversion rejections: Payer billing disputes over single-dose vs multi-dose maintenance vial treatment units

Venom immunotherapy unbundling: Commercial payer denials when billing Hymenoptera venom testing and extract preparation concurrently

Same-day skin testing and E/M denials: Modifier 25 rejections when diagnostic scratch testing (95004) is performed during an initial allergy consultation

Asthma biologic prior-authorization lapses: High-cost biologic therapies (Xolair J2357, Dupixent, Fasenra) denied due to lapsed 6-month clinical recertification

How Aethera fixes it

Specialty-trained coders (CPC/CCS) code to the documentation

First-pass claim scrubbing against payer and NCCI edits

Proactive denial prevention and 72-hour denial work

Relentless A/R follow-up to drive days-in-A/R down

Eligibility and prior-auth verification before service

Transparent, real-time reporting in the provider portal

Free tools for your billing team

Use these any time — no login required.

Allergy, Asthma & Clinical Immunology billing FAQ

How do you calculate and bill allergen extract preparation (95165) accurately?

We calculate exact treatment dose units based on individual vial volume and maintenance concentrations, preventing payer audit recoupments and ensuring 100% compliance with Medicare unit definitions.

How do you prevent Modifier 25 denials on same-day allergy testing visits?

We ensure physician clinical notes distinctly separate the evaluation of allergic rhinitis or asthma triggers from the technical execution of skin tests (95004/95024), satisfying payer modifier 25 requirements.

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