CPT code 95024: Intradermal allergy test, immediate reaction, allergenic extracts2026 Medicare rate & RVUs in Montana

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.

CMS RVU26DEffective Oct 1, 2026One payment locality1.3M Medicare services in 2024

In Montana, Medicare pays $7.68 for 95024 in the office and $1.00 when it’s performed in a hospital or facility.

$7.68Office (non-facility)
$1.00Hospital or facility
+0.0%vs the national office rate ($7.68)

Check a contract rate as a % of Medicare · 95024 nationwide

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

We’ll open 95024 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 95024 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Montana compares for 95024

Across 109 of 109 payment localities, the office rate for 95024 runs from $6.53 in Arkansas to $10.66 in San Benito County, CA. Montana pays $7.68. The RVUs are the same everywhere; the geographic indexes change the dollars.

95024 in Montana vs other payment areas
  1. Montana · this page$7.68
  2. Los Angeles, CA · California$8.87+$1.19
  3. Washington, DC area · District of Columbia$8.99+$1.31
  4. Miami, FL · Florida$8.48+$0.80
  5. Chicago, IL · Illinois$8.15+$0.47
  6. Manhattan, NY · New York$9.04+$1.36
  7. Alaska · Alaska$8.16+$0.48

Other areas in Montana first, then benchmark localities. Bars start at $0.

Every other payment area

95024 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$6.66$0.82
ArkansasArkansas$6.53$0.79
ArizonaArizona$7.42$0.94
Bakersfield, CACalifornia$8.23$0.91
Chico, CACalifornia$8.21$0.88
El Centro, CACalifornia$8.21$0.89
Fresno, CACalifornia$8.21$0.88
Hanford, CACalifornia$8.21$0.88

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
95024 office rate range by state
State / territoryOffice rate rangeLocalities
AK$8.161
AL$6.661
AR$6.531
AZ$7.421
CA$8.21–$10.6629
CO$8.061
CT$8.301
DC$8.991
DE$7.571
FL$7.54–$8.483
GA$6.99–$7.862
GU$8.501
HI$8.501
IA$6.881
ID$6.951
IL$7.26–$8.154
IN$7.001
KS$6.841
KY$6.881
LA$6.86–$7.312
MA$7.99–$9.022
MD$7.74–$8.993
ME$6.99–$7.502
MI$7.12–$7.672
MN$7.651
MO$6.71–$7.353
MS$6.621
MT$7.681
NC$7.091
ND$7.481
NE$6.931
NH$7.931
NJ$8.37–$8.852
NM$7.171
NV$7.631
NY$7.23–$9.325
OH$7.071
OK$6.861
OR$7.55–$8.382
PA$7.09–$8.042
PR$7.751
RI$7.881
SC$7.101
SD$7.461
TN$6.891
TX$7.03–$8.058
UT$7.231
VA$7.46–$8.992
VI$7.751
VT$7.451
WA$7.98–$9.232
WI$7.161
WV$6.911
WY$7.601

See 95024 in every payment locality

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

Office or facility?

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.

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,461

Code
95024
Physician work
0.01
Practice expense
0.21
Malpractice
0.01

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Office calculation for 95024 in Montana
ComponentRVULocality factorAdjusted
Physician work0.01× 1.0000.0100
Practice expense0.21× 1.0000.2100
Malpractice0.01× 0.9980.0100
Total RVUs0.2300
Conversion factor× 33.4009

Office rate, Montana$7.68

Office: (0.01 × 1 + 0.21 × 1 + 0.01 × 0.998) × $33.4009 = $7.68

Facility: (0.01 × 1 + 0.01 × 1 + 0.01 × 0.998) × $33.4009 = $1.00

Open 95024 in the RVU calculator

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.

How 95024 has changed in Montana

95024 · Office / nonfacility

$7.68

Effective 2026-10-01

The base rate is $0.25 higher than on 2025-10-01, moving from $7.43 to $7.68 (3.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $7.43changed to$7.68

    • Conversion factor 32.3465 changed to 33.4009
    • Malpractice GPCI 0.978 changed to 0.998

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $7.98changed to$7.43

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.22 changed to 0.21

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $7.85changed to$7.98

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $8.13changed to$7.85

    • Conversion factor 33.8872 changed to 32.7442
  5. January 1, 2023

    RVU23A

    $8.64changed to$8.13

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.23 changed to 0.22
    • Malpractice GPCI 0.977 changed to 0.978

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $8.72changed to$8.64

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $8.41changed to$8.72

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.21 changed to 0.23
    • Malpractice GPCI 1.304 changed to 0.977

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $8.52changed to$8.41

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice GPCI 1.631 changed to 1.304

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $8.51changed to$8.52

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $8.05changed to$8.51

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.20 changed to 0.21
    • Malpractice GPCI 1.429 changed to 1.631

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $7.96changed to$8.05

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice GPCI 1.226 changed to 1.429

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $7.99changed to$7.96

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $7.95changed to$7.99

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $7.94changed to$7.95

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice GPCI 1.165 changed to 1.226

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $8.20changed to$7.94

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.22 changed to 0.20
    • Malpractice GPCI 1.103 changed to 1.165

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $8.20

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$7.68$1.00RVU26D
2026-07-01$7.68$1.00RVU26C
2026-04-01$7.68$1.00RVU26B
2026-01-01$7.68$1.00RVU26A
2025-10-01$7.43$0.96RVU25D
2025-07-01$7.43$0.96RVU25C
2025-04-01$7.43$0.96RVU25B
2025-01-01$7.43$0.96RVU25A
2024-10-01$7.98$0.99RVU24D
2024-07-01$7.98$0.99RVU24C
2024-04-01$7.98$0.99RVU24B
2024-03-09$7.98$0.99RVU24AR
2024-01-01$7.85$0.98RVU24A
2023-10-01$8.13$1.01RVU23D
2023-07-01$8.13$1.01RVU23C
2023-04-01$8.13$1.01RVU23B
2023-01-01$8.13$1.01RVU23A
2022-10-01$8.64$1.03RVU22D
2022-07-01$8.64$1.03RVU22C
2022-04-01$8.64$1.03RVU22B
2022-01-01$8.64$1.03RVU22A
2021-10-01$8.72$1.04RVU21D
2021-07-01$8.72$1.04RVU21C
2021-04-01$8.72$1.04RVU21B
2021-01-01$8.72$1.04RVU21A
2020-10-01$8.41$1.19RVU20D
2020-07-01$8.41$1.19RVU20C
2020-04-01$8.41$1.19RVU20B
2020-01-01$8.41$1.19RVU20A
2019-10-01$8.52$1.31RVU19D
2019-07-01$8.52$1.31RVU19C
2019-04-01$8.52$1.31RVU19B
2019-01-01$8.52$1.31RVU19A
2018-10-01$8.51$1.31RVU18D
2018-07-01$8.51$1.31RVU18C
2018-04-01$8.51$1.31RVU18B
2018-01-01$8.51$1.31RVU18AR1
2017-10-01$8.05$1.23RVU17D
2017-07-01$8.05$1.23RVU17C
2017-04-01$8.05$1.23RVU17B
2017-01-01$8.05$1.23RVU17A
2016-10-01$7.96$1.16RVU16D
2016-07-01$7.96$1.16RVU16C
2016-04-01$7.96$1.16RVU16B
2016-01-01$7.96$1.16RVU16A
2015-10-01$7.99$1.16RVU15D
2015-07-01$7.99$1.16RVU15C
2015-04-01$7.95$1.15RVU15B
2015-01-01$7.95$1.15RVU15A
2014-10-01$7.94$1.13RVU14D
2014-07-01$7.94$1.13RVU14C
2014-04-01$7.94$1.13RVU14B
2014-01-01$7.94$1.13RVU14A
2013-10-01$8.20$1.06RVU13D
2013-07-01$8.20$1.06RVU13C
2013-04-01$8.20$1.06RVU13B
2013-01-01$8.20$1.06RVU13AR

Price 95024 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

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
RVUs for 95024PPRRVU2026_Oct_nonQPP.csv, line 12,461 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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