Ask a Rev Cycle Expert: Provider for CPT® 95180?
Can a Nurse Practitioner or Physician Assistant report 95180?
The answer is dependent upon your state’s scope of practice regulations, and whether the nurse practitioner (NP) or physician assistant (PA) is following your facilities' policies, procedures and bylaws. As nonphysician practitioners (NPP) or Qualified Health Professional (QHP), providers who are licensed as an NP or PA are generally recognized as a “practitioner” and may provide services to the level allowed by state law.
When allowed by state law, an NP or PA may report Current Procedural Terminology (CPT®) code 95180 Rapid desensitization procedure, each hour (eg, insulin, penicillin, equine serum). Otherwise, the service may be provided by the NP or PA may be able to provide the services under the “incident to” provisions.
Disclaimer: This information was current at the time of its publishing and is designed to provide accurate information in regard to the subject matter covered. Vitalware does not accept any responsibility or liability with regard to any errors, omissions, misuses, or misinterpretation by the reader. It is not intended to take the place of either the written policies or regulations. We encourage you to review the specific regulations and other interpretive materials as necessary. All CPT® codes are trademarked by the American Medical Association (AMA) and all revenue codes are copyrighted by the American Hospital Association (AHA).