CPT code 95024: Intradermal allergy test, immediate reaction, allergenic extracts2026 Medicare rate & RVUs
Intradermal testing with allergenic extracts is reported per immediate-reaction test, often when a suspected inhalant allergen has a negative or unclear prick-test result.
Medicare pays $7.68 for 95024 nationally in the office and $1.00 in a hospital or facility. Local office rates run $6.53–$10.66.
Medicare rate · 95024
Intradermal allergy test, immediate reaction, allergenic extracts
- Work RVUs
- 0.01
- Total RVUs
- 0.23
- Global days
- XXX
National rate · 2026
$7.68
Office setting, before claim adjustments.
See every locality for 95024 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 10 sections
What 95024 covers
Small amounts of diluted allergenic extract are injected into the superficial dermis, often on the upper arm. Sites are typically read about 15 to 20 minutes later for an immediate wheal-and-flare reaction. Common extracts include dust mite, mold, pollen, and animal dander. Intradermal testing is more sensitive than percutaneous prick testing and may follow negative or unclear prick results when the history still suggests an inhalant allergy. Allergists commonly order and interpret these tests in an office, where nursing or allergy staff may place and read them. Nearly all Medicare volume for this code is in the office setting.
Report one unit for each intradermal allergen test performed and interpreted; do not count the reading as another test. Interpretation and the written report are included. Documentation should identify each allergen and its concentration or dilution, the reading time, wheal-and-flare measurements, and the interpretation. Practice expense accounts for most of the office value, reflecting extracts, supplies, and staff time; physician work represents 4% of the office total. Venom, drug, sequential and incremental airborne-allergen, and delayed-reaction testing have separate codes.
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 95024 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$6.53 to $10.66
109 of 109 payment localities
95024 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$6.53
$9.44
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $8.16 | 1 |
| AL | $6.66 | 1 |
| AR | $6.53 | 1 |
| AZ | $7.42 | 1 |
| CA | $8.21–$10.66 | 29 |
| CO | $8.06 | 1 |
| CT | $8.30 | 1 |
| DC | $8.99 | 1 |
| DE | $7.57 | 1 |
| FL | $7.54–$8.48 | 3 |
| GA | $6.99–$7.86 | 2 |
| GU | $8.50 | 1 |
| HI | $8.50 | 1 |
| IA | $6.88 | 1 |
| ID | $6.95 | 1 |
| IL | $7.26–$8.15 | 4 |
| IN | $7.00 | 1 |
| KS | $6.84 | 1 |
| KY | $6.88 | 1 |
| LA | $6.86–$7.31 | 2 |
| MA | $7.99–$9.02 | 2 |
| MD | $7.74–$8.99 | 3 |
| ME | $6.99–$7.50 | 2 |
| MI | $7.12–$7.67 | 2 |
| MN | $7.65 | 1 |
| MO | $6.71–$7.35 | 3 |
| MS | $6.62 | 1 |
| MT | $7.68 | 1 |
| NC | $7.09 | 1 |
| ND | $7.48 | 1 |
| NE | $6.93 | 1 |
| NH | $7.93 | 1 |
| NJ | $8.37–$8.85 | 2 |
| NM | $7.17 | 1 |
| NV | $7.63 | 1 |
| NY | $7.23–$9.32 | 5 |
| OH | $7.07 | 1 |
| OK | $6.86 | 1 |
| OR | $7.55–$8.38 | 2 |
| PA | $7.09–$8.04 | 2 |
| PR | $7.75 | 1 |
| RI | $7.88 | 1 |
| SC | $7.10 | 1 |
| SD | $7.46 | 1 |
| TN | $6.89 | 1 |
| TX | $7.03–$8.05 | 8 |
| UT | $7.23 | 1 |
| VA | $7.46–$8.99 | 2 |
| VI | $7.75 | 1 |
| VT | $7.45 | 1 |
| WA | $7.98–$9.23 | 2 |
| WI | $7.16 | 1 |
| WV | $6.91 | 1 |
| WY | $7.60 | 1 |
How the 95024 rate is calculated
Each of 95024’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.
How the rate is built · 95024
RVUs × geographic indexes × conversion factor
Work0.01
0.01 RVUs× 1.000 GPCI
Practice expense0.21
0.21 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.2300
Conversion factor
$33.4009
Medicare rate
$7.68
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 95024
95024 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.
Place of service · 95024
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$7.68
- Non-facility (office)
- $7.68
- Facility
- $1.00
Higher because the practice carries its own overhead.
95024 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 95004Allergy skin prick testPercutaneous, immediate reaction, per test
- 95004 is percutaneous prick or scratch testing, which introduces extract through the skin surface. 95024 injects extract into the dermis and may follow a negative or unclear prick result.
- 95027Intradermal testingSequential airborne allergens
- Use 95027 for a sequential, incremental intradermal testing protocol with airborne allergens. Use 95024 for individual immediate-reaction intradermal tests outside that protocol.
- 95028Allergy skin testingIntradermal, delayed reaction
- 95028 evaluates delayed intradermal reactions, with results read later. 95024 evaluates immediate reactions, typically read within minutes.
- 95018Drug allergy testingPercutaneous and intracutaneous tests
- Drug and biological skin testing, including intradermal testing, is reported with 95018. Use 95024 for immediate-reaction intradermal tests with other allergenic extracts.
95024 billing questions
How many units are reported?
Report one unit for each intradermal allergen test performed and interpreted, not another unit for reading it. The documented allergens, concentrations, and results should support the unit count.
Can 95004 and 95024 be billed on the same date?
Yes, when separately necessary intradermal tests follow prick testing in the same session. Documentation should show why the intradermal tests were needed, such as negative or equivocal prick results despite a suggestive history.
Should insect venom or penicillin skin testing go under 95024?
No. Use 95017 for venom testing and 95018 for drug or biological testing, such as penicillin. Those codes encompass percutaneous and intradermal testing.
When is 95027 used instead of 95024?
Use 95027 for sequential, incremental intradermal testing with airborne allergens. Use 95024 for individual immediate-reaction intradermal tests that are not part of that testing protocol.
Is a separate E/M visit billable on the testing day?
Reading and reporting the test results are included in 95024. A significant, separately identifiable E/M service must be documented separately and reported with modifier 25 on the E/M code.
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
Show the CMS file lines behind this rate
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