CPT code 95028: Allergy skin testing, intradermal, delayed reaction2026 Medicare rate & RVUs in Florida
Reports intradermal allergy tests used to evaluate delayed-type skin responses, with the test count documented separately from interpretation.
Medicare pays $12.00–$13.36 for 95028 in the office in Florida, from Rest of Florida to Miami, FL. Which amount applies depends on the service address.
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 9 sections
What 95028 covers
Code 95028 represents intradermal allergy testing intended to detect a delayed-type response, rather than the immediate wheal-and-flare response assessed by routine immediate skin tests. The clinician introduces selected allergenic material into the skin and evaluates the response after the appropriate delay. Allergy and immunology clinicians commonly perform this testing in an outpatient office when a delayed hypersensitivity response is being investigated; the code is distinguished by both the intradermal route and delayed-response purpose, not merely by the fact that a result is read later.
Report the number of tests performed, with the record identifying the tested substances, intradermal placement, and delayed-response evaluation. Do not substitute 95024 for immediate-type intradermal testing, or 95044 when the procedure uses patch testing for contact sensitivity. CMS classifies 95028 as technical-component-only: it covers the testing procedure, while interpretation is represented by a separate code. Keep documentation for the procedure and the separately coded interpretation distinct; a delayed reading alone does not make an immediate-type test reportable as 95028.
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 95028 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$12.00 to $13.36
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | $12.78 | Unavailable |
| Miami, FL | $13.36 | Unavailable |
| Rest of Florida | $12.00 | Unavailable |
How the 95028 rate is calculated
Each of 95028’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 · 95028
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.36
0.36 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.3700
Conversion factor
$33.4009
Medicare rate
$12.36
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 95028
The CMS indicators that decide how 95028 is paid alongside other services.
CMS payment indicators · 95028
Allergy skin testing, intradermal, delayed reaction
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 3 | Technical component only. |
95028 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 95024Intradermal allergy testImmediate reaction, allergenic extracts
- Choose 95024 for intradermal allergenic-extract tests assessing immediate-type responses. Choose 95028 when the intradermal test evaluates a delayed-type response.
- 95044Patch testingEach separate patch test
- 95044 describes patch or application testing, rather than injecting test material intradermally. The route and testing method distinguish it from 95028.
- 95018Drug allergy testingPercutaneous and intracutaneous tests
- 95018 is for percutaneous and intradermal testing with drugs or biologicals for immediate-type reactions. 95028 is distinguished by its delayed-response purpose.
95028 billing questions
How does 95028 differ from 95024?
95028 is for intradermal testing directed at delayed-type responses. 95024 is for intradermal tests assessing immediate-type reactions.
Is interpretation included in 95028?
No. CMS identifies 95028 as technical-component-only, with interpretation covered by a separate code.
How should the test count be documented?
Identify the substances tested and document the number of intradermal tests performed. A later reading is not a separate test.
When is 95044 a better fit?
Use 95044 for patch or application testing, commonly used to evaluate contact sensitivity. Use 95028 when the testing method is intradermal and the response being evaluated is delayed-type.
Does an immediate test reported later become 95028?
No. Code selection follows the response type the test is designed to assess, not simply when the result is read.
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
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