BlueCross BlueShield of South Carolina and BlueChoice HealthPlan will implement a medical policy revision to CAM 009 – Allergy Immunotherapy. Currently, the medical policy allows 30 doses of CPT 95165 in a 12-week period for services rendered from various provider specialties. Effective Sept. 1, 2019, the policy will change to allow 120 doses of CPT 95165 annually, and allow for services rendered from board certified allergists and board certified Ear, Nose and Throat (ENT) physicians only.
For complete information about CAM 009, visit our Medical Policies page on Sept. 1, 2019. Please remember medical necessity is not a guarantee of payment. Payment is subject to the member’s plan coverage, to include prior authorization requirements and benefits at the time the service is performed. You may contact Provider Education by using the Provider Education Contact Form or by calling 803-264-4730 with additional questions.
BlueCross® BlueShield® of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association.