95004 Insurance Policy Changes

CPT 95004, in plain terms, covers A skin test where small amounts of allergen extracts are applied to check which substances trigger allergic reactions. CPT 95004 is referenced in 3 tracked payer policy changes from Blue Cross NC and Nevada Medicaid. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 95004 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 95004 on AAPC