After-Hours Care Appointments

Allergy Immunotherapy Raleigh NC: Now Offered at Avance Care

Once your allergy skin test is complete, your allergy clinician will talk with you about the allergies you have and what is the best treatment to manage them. You will be given information to take home and read about each of your allergies. We will schedule a visit to talk to your primary care provider about the skin test results and the best way to manage your allergies.

For many people, avoiding known allergens or taking medication works well. Some allergens, however, are hard to see or avoid and allergy medications may not help enough with the symptoms. The result is that you may find that you still have allergy symptoms despite your best efforts to treat them. Inadequately treated allergies can cause you to feel tired or may keep you from being able to work or enjoy time with friends or family.

In these difficult cases, your provider may also talk to you about immunotherapy. Immunotherapy is not medication, but it is an effective way to treat the cause of your allergies rather than just the symptoms. Immunotherapy can actually cure allergies, eliminating the need to take allergy medication for years. It can be done safely in the Avance Care office. Immunotherapy is a series of shots that contain a small amount of allergen.

These shots go just under the skin on your upper arm. With each weekly shot, the amount of allergen is slowly increased. This allows your body to gradually adapt to the allergens without causing an allergic reaction. The goal of treatment is to eliminate your allergy symptoms over time.

Immunotherapy can do some important things:

• Eliminate the need to take medication for allergy symptoms

• Stop your body from developing new allergies

• Slow or stop the onset of asthma

• Reduce asthma symptoms you already have, which could result in fewer medications and fewer airway spasms (wheezing, shortness of breath, or chest tightness)

This is a very common way to treat allergies. About 8 out of 10 people who have this treatment have fewer allergy symptoms after 1 year and a lower chance for other problems, like infections or asthma. It’s your choice. You don’t have to live with your allergy symptoms. Your primary care provider can help you get treatment to improve your quality of life. Treating your allergies can lower your cost of care, lower your chance for new allergies, and reduce the allergy symptoms you have now.

Allergy Drops vs. Allergy Shots

Immunotherapy can also be taken by drops under the tongue, rather than injections. This method of treatment has been used in Europe for years and is extremely safe and effective. However, allergy drops are not yet approved by the FDA and are not covered by insurance. Some people find that taking drops is an affordable option since it is so convenient and saves trips to the doctor. Ask your provider today if allergy drops are right for you.

How much will this cost?

Most insurers will cover allergy testing and treatment, but it can be quite expensive if they do not. Knowing your benefits can help you address your allergies at an affordable cost Medical billing is done using a coding system. Every billable item is assigned a 5 digit code. Use the allergy codes below to ask your insurance company how much coverage they offer for allergy testing and treatment, and if your deductible applies to your allergy benefits.

Questions for Your Insurance Company

Does my deductible apply for codes 95004, 95024, and 95165 and if so, how much remaining deductible do I have?

Allergy Testing

95004: Skin Prick Testing

95024: Intradermal (under the skin) Testing

Do you cover codes 95004 and 95024?

Is there a limit on the number of units allowed for each of these codes?

Do I have a co-pay when I go in for testing and the only codes being billed are 95004 and 95024?

Allergy Treatment (Immunotherapy)

Do you cover code 95165 (Allergy Immunotherapy)?

Is there a limit to the number of units allowed for 95165, and if so, what is the limit?

Injections

Is there a co-pay required for 95115 or 95117 (weekly allergy shots)? If so, is it my regular co-pay or is it reduced?

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