95131 Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; 2 stinging insect venoms

Name of the Procedure:

Allergen Immunotherapy for Stinging Insect Venoms

Summary

Allergen immunotherapy for stinging insect venoms is a medical treatment administered in a doctor's office. It involves giving controlled doses of venom extracts from insects like bees and wasps to build the patient's tolerance and reduce the severity of allergic reactions.

Purpose

This procedure is designed to treat severe allergic reactions to stinging insects, such as bees, wasps, hornets, and yellow jackets. The goal is to build up the patient's immunity so that future stings will cause a less severe allergic reaction.

Indications

• History of severe allergic reactions to insect stings (anaphylaxis).
• Positive skin or blood tests indicating sensitivity to stinging insect venoms.
• Patients who want to reduce their risk of severe reactions and improve their quality of life.

Preparation

• Patients may need to stop certain medications (e.g., antihistamines) for a period before the procedure.
• An allergy test may be conducted to confirm sensitivity to insect venoms.

Procedure Description

1. The healthcare provider prepares an extract of the insect venom.
2. The extract is injected under the skin, usually in the upper arm.
3. The patient is observed for a period (typically about 30 minutes) to monitor for adverse reactions.
4. The procedure is repeated regularly (weekly or biweekly) with gradually increasing doses until the maintenance dose is reached.

Duration

Each visit typically lasts about 30 to 60 minutes.

Setting

The procedure is performed in the office of the prescribing physician or a qualified healthcare professional.

Personnel

• Allergist or qualified healthcare professional
• Nursing staff for assistance and monitoring

Risks and Complications

• Local reactions: redness, swelling, and itching at the injection site.
• Systemic reactions: mild to moderate allergic symptoms such as hives, difficulty breathing, or anaphylaxis.
• Management of severe reactions includes emergency medications and measures.

Benefits

• Reduced risk of severe allergic reactions to future insect stings.
• Increased quality of life and peace of mind for individuals with severe allergies to stinging insects.
• Long-term tolerance development.

Recovery

• Patients can typically resume normal activities shortly after each injection.
• Regular follow-up appointments are necessary for continued immunotherapy.
• Mild soreness or swelling at the injection site may occur.

Alternatives

• Carrying emergency epinephrine at all times.
• Avoidance strategies, such as staying away from stinging insects.
• Pros: No need for frequent medical visits.
• Cons: No long-term immunity development.

Patient Experience

• Mild discomfort or pain at the injection site during the procedure.
• Possible local or systemic allergic reactions post-injection.
• Most patients find the long-term benefits outweigh the discomfort and inconvenience of frequent visits.