CPT code 95017: Venom testing, percutaneous and intradermal2026 Medicare rate & RVUs

Medicare pays $8.02 for 95017 nationally in the office and $3.01 in a hospital or facility. Local office rates run $7.10–$10.48.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 95017 covers

This service covers skin testing with venom extracts to evaluate immediate allergic reactions, commonly after a patient has had a systemic reaction to an insect sting. An allergist or other qualified clinician may use a percutaneous method, an intradermal method, or both as part of a sequential testing protocol. The clinician assesses the skin responses and documents the interpretation and report. Testing is commonly performed in an allergy office or outpatient setting where the patient can be observed during the evaluation.

Report 95017 for venom testing, rather than the general allergen-extract skin-testing codes, when the tests use venom extracts. Report the number of tests performed, supported by the record of the extracts and testing steps used, the patient’s responses, and the clinician’s interpretation. The CMS physician fee schedule assigns this service a code-specific payment value.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 95017 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

95017 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 95017 rate is calculated

Each of 95017’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 95017

95017 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

95017 compared with similar codes

How to choose

95004Allergy skin prick testPercutaneous, immediate reaction, per test

Choose 95017 for venom extracts. Code 95004 describes percutaneous testing with other allergenic extracts.

95024Intradermal allergy testImmediate reaction, allergenic extracts

Choose 95017 for venom extracts, whether percutaneous, intradermal, or combined methods are used. Code 95024 is for intradermal testing with allergenic extracts generally.

95018Drug allergy testingPercutaneous and intracutaneous tests

The tested material determines the code: 95017 is for venoms, while 95018 is for drugs or biologicals.

95044Patch testingEach separate patch test

Code 95017 evaluates immediate skin responses to venoms; 95044 is used for patch or application testing of delayed reactions.

Codes related to 95017

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates