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

In Puerto Rico, Medicare pays $7.75 for 95024 in the office and $1.00 when it’s performed in a hospital or facility.

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.

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 Puerto Rico 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. Puerto Rico pays $7.75. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

95024 rates by state

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

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.

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.

Codes related to 95024

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

How 95024 has changed in Puerto Rico

Price 95024 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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