Effective February 1, 2025, the CPT codes in the table below will have new unit limitations. Clinical coverage policies 1N1 Allergy Testing and 1N2 Allergy Immunotherapy are in the process of being updated to reflect this guidance. A bulletin will be published announcing the final posting of these policies.

Existing coverage will not be revoked; rather, both policies will be updated to reflect current practice standards. Please consult the relevant clinical coverage policy upon its final posting for detailed information regarding this update.

The following 10 codes will remain unchanged:

  • 1N1 Allergy Testing -95018, 95027, 95028, 95070, 95076, 95079
  • 1N2 Allergy Immunotherapy – 95115, 95117, 95144, 95165

 

This information applies to NC Medicaid Direct.