CPT code 95028: Allergy skin testing, intradermal, delayed reaction2026 Medicare rate & RVUs in Tennessee
Reports intradermal allergy tests used to evaluate delayed-type skin responses, with the test count documented separately from interpretation.
In Tennessee, Medicare pays $11.11 for 95028 in the office.
Check a contract rate as a % of Medicare · 95028 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 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.
How Tennessee compares for 95028
Across 109 of 109 payment localities, the office rate for 95028 runs from $10.50 in Arkansas to $17.52 in San Benito County, CA. Tennessee pays $11.11. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Tennessee · this page$11.11
- Los Angeles, CA · California$14.45+$3.34
- Washington, DC area · District of Columbia$14.54+$3.43
- Miami, FL · Florida$13.36+$2.25
- Chicago, IL · Illinois$12.85+$1.74
- Manhattan, NY · New York$14.50+$3.39
- Alaska · Alaska$12.99+$1.88
Other areas in Tennessee first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $10.71 | — |
| ArkansasArkansas | $10.50 | — |
| ArizonaArizona | $11.94 | — |
| Bakersfield, CACalifornia | $13.38 | — |
| Chico, CACalifornia | $13.36 | — |
| El Centro, CACalifornia | $13.36 | — |
| Fresno, CACalifornia | $13.36 | — |
| Hanford, CACalifornia | $13.36 | — |
| Madera, CACalifornia | $13.36 | — |
| Merced, CACalifornia | $13.36 | — |
| Modesto, CACalifornia | $13.36 | — |
| Napa, CACalifornia | $16.02 | — |
| Oxnard, CACalifornia | $14.42 | — |
| Redding, CACalifornia | $13.36 | — |
| Rest of CaliforniaCalifornia | $13.36 | — |
| Riverside, CACalifornia | $13.46 | — |
| Sacramento, CACalifornia | $14.16 | — |
| Salinas, CACalifornia | $14.12 | — |
| San Diego, CACalifornia | $14.56 | — |
| Marin County, CACalifornia | $17.11 | — |
| San Francisco, CACalifornia | $17.10 | — |
| San Benito County, CACalifornia | $17.52 | — |
| Santa Clara County, CACalifornia | $17.47 | — |
| San Luis Obispo, CACalifornia | $13.87 | — |
| Santa Cruz, CACalifornia | $14.79 | — |
| Santa Maria, CACalifornia | $14.20 | — |
| Santa Rosa, CACalifornia | $14.94 | — |
| Stockton, CACalifornia | $13.36 | — |
| Vallejo, CACalifornia | $16.00 | — |
| Visalia, CACalifornia | $13.36 | — |
| Yuba City, CACalifornia | $13.36 | — |
| ColoradoColorado | $13.05 | — |
| ConnecticutConnecticut | $13.35 | — |
| DelawareDelaware | $12.18 | — |
| Fort Lauderdale, FLFlorida | $12.78 | — |
| Rest of FloridaFlorida | $12.00 | — |
| Atlanta, GAGeorgia | $12.62 | — |
| Rest of GeorgiaGeorgia | $11.12 | — |
| Hawaii, Guam, HIHawaii | $13.87 | — |
| IowaIowa | $11.13 | — |
| IdahoIdaho | $11.22 | — |
| East St. Louis, ILIllinois | $11.74 | — |
| Rest of IllinoisIllinois | $11.50 | — |
| Suburban Chicago, ILIllinois | $12.94 | — |
| IndianaIndiana | $11.31 | — |
| KansasKansas | $11.04 | — |
| KentuckyKentucky | $11.00 | — |
| New Orleans, LALouisiana | $11.69 | — |
| Rest of LouisianaLouisiana | $10.96 | — |
| Metropolitan Boston, MAMassachusetts | $14.65 | — |
| Rest of MassachusettsMassachusetts | $12.93 | — |
| Baltimore area, MDMaryland | $13.32 | — |
| Rest of MarylandMaryland | $12.48 | — |
| Rest of MaineMaine | $11.27 | — |
| Southern Maine, MEMaine | $12.13 | — |
| Detroit, MIMichigan | $12.17 | — |
| Rest of MichiganMichigan | $11.36 | — |
| MinnesotaMinnesota | $12.47 | — |
| Metropolitan Kansas City, MOMissouri | $11.62 | — |
| Metropolitan St. Louis, MOMissouri | $11.78 | — |
| Rest of MissouriMissouri | $10.69 | — |
| MississippiMississippi | $10.60 | — |
| MontanaMontana | $12.36 | — |
| North CarolinaNorth Carolina | $11.43 | — |
| North DakotaNorth Dakota | $12.16 | — |
| NebraskaNebraska | $11.22 | — |
| New HampshireNew Hampshire | $12.81 | — |
| Northern New JerseyNew Jersey | $14.30 | — |
| Rest of New JerseyNew Jersey | $13.50 | — |
| New MexicoNew Mexico | $11.43 | — |
| NevadaNevada | $12.31 | — |
| NYC suburbs and Long Island, NYNew York | $14.92 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $13.57 | — |
| Queens, NYNew York | $14.69 | — |
| Rest of New YorkNew York | $11.66 | — |
| OhioOhio | $11.31 | — |
| OklahomaOklahoma | $11.00 | — |
| Portland, OROregon | $13.61 | — |
| Rest of OregonOregon | $12.21 | — |
| Metropolitan Philadelphia, PAPennsylvania | $12.92 | — |
| Rest of PennsylvaniaPennsylvania | $11.35 | — |
| Puerto RicoPuerto Rico | $12.49 | — |
| Rhode IslandRhode Island | $12.72 | — |
| South CarolinaSouth Carolina | $11.39 | — |
| South DakotaSouth Dakota | $12.14 | — |
| Austin, TXTexas | $13.02 | — |
| Beaumont, TXTexas | $11.25 | — |
| Brazoria, TXTexas | $12.18 | — |
| Dallas, TXTexas | $12.26 | — |
| Fort Worth, TXTexas | $12.15 | — |
| Galveston, TXTexas | $12.22 | — |
| Houston, TXTexas | $12.40 | — |
| Rest of TexasTexas | $11.71 | — |
| UtahUtah | $11.60 | — |
| VirginiaVirginia | $12.06 | — |
| Virgin Islands, VIUnited States Virgin Islands | $12.49 | — |
| VermontVermont | $12.07 | — |
| Rest of WashingtonWashington | $12.92 | — |
| King County, WAWashington | $15.03 | — |
| WisconsinWisconsin | $11.62 | — |
| West VirginiaWest Virginia | $10.93 | — |
| WyomingWyoming | $12.27 | — |
95028 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.
$10.50
$15.44
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 | $12.99 | 1 |
| AL | $10.71 | 1 |
| AR | $10.50 | 1 |
| AZ | $11.94 | 1 |
| CA | $13.36–$17.52 | 29 |
| CO | $13.05 | 1 |
| CT | $13.35 | 1 |
| DC | $14.54 | 1 |
| DE | $12.18 | 1 |
| FL | $12.00–$13.36 | 3 |
| GA | $11.12–$12.62 | 2 |
| GU | $13.87 | 1 |
| HI | $13.87 | 1 |
| IA | $11.13 | 1 |
| ID | $11.22 | 1 |
| IL | $11.50–$12.94 | 4 |
| IN | $11.31 | 1 |
| KS | $11.04 | 1 |
| KY | $11.00 | 1 |
| LA | $10.96–$11.69 | 2 |
| MA | $12.93–$14.65 | 2 |
| MD | $12.48–$14.54 | 3 |
| ME | $11.27–$12.13 | 2 |
| MI | $11.36–$12.17 | 2 |
| MN | $12.47 | 1 |
| MO | $10.69–$11.78 | 3 |
| MS | $10.60 | 1 |
| MT | $12.36 | 1 |
| NC | $11.43 | 1 |
| ND | $12.16 | 1 |
| NE | $11.22 | 1 |
| NH | $12.81 | 1 |
| NJ | $13.50–$14.30 | 2 |
| NM | $11.43 | 1 |
| NV | $12.31 | 1 |
| NY | $11.66–$14.92 | 5 |
| OH | $11.31 | 1 |
| OK | $11.00 | 1 |
| OR | $12.21–$13.61 | 2 |
| PA | $11.35–$12.92 | 2 |
| PR | $12.49 | 1 |
| RI | $12.72 | 1 |
| SC | $11.39 | 1 |
| SD | $12.14 | 1 |
| TN | $11.11 | 1 |
| TX | $11.25–$13.02 | 8 |
| UT | $11.60 | 1 |
| VA | $12.06–$14.54 | 2 |
| VI | $12.49 | 1 |
| VT | $12.07 | 1 |
| WA | $12.92–$15.03 | 2 |
| WI | $11.62 | 1 |
| WV | $10.93 | 1 |
| WY | $12.27 | 1 |
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.
The exact Tennessee inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,463
- Code
- 95028
- Physician work
- 0.00
- Practice expense
- 0.36
- Malpractice
- 0.01
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 0.36 | × 0.909 | 0.3272 |
| Malpractice | 0.01 | × 0.537 | 0.0054 |
| Total RVUs | 0.3326 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Tennessee$11.11
Office: (0 × 1 + 0.36 × 0.909 + 0.01 × 0.537) × $33.4009 = $11.11
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. |
How 95028 has changed in Tennessee
95028 · Office / nonfacility
$11.11
Effective 2026-10-01
The base rate is $0.50 higher than on 2025-10-01, moving from $10.61 to $11.11 (4.7%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$10.61changed to$11.11
- Conversion factor 32.3465 changed to 33.4009
- Practice expense GPCI 0.896 changed to 0.909
- Malpractice GPCI 0.544 changed to 0.537
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$11.22changed to$10.61
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.37 changed to 0.36
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$11.03changed to$11.22
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$11.38changed to$11.03
- Conversion factor 33.8872 changed to 32.7442
- Practice expense GPCI 0.894 changed to 0.896
- Malpractice GPCI 0.518 changed to 0.544
January 1, 2023
RVU23A
$11.59changed to$11.38
- Conversion factor 34.6062 changed to 33.8872
- Practice expense GPCI 0.892 changed to 0.894
- Malpractice GPCI 0.492 changed to 0.518
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$11.69changed to$11.59
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$11.51changed to$11.69
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.35 changed to 0.37
- Practice expense GPCI 0.897 changed to 0.892
- Malpractice GPCI 0.509 changed to 0.492
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$11.88changed to$11.51
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.36 changed to 0.35
- Practice expense GPCI 0.901 changed to 0.897
- Malpractice GPCI 0.526 changed to 0.509
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$11.87changed to$11.88
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
April 1, 2018
RVU18B
No ratechanged to$11.87
Held through RVU18C, RVU18D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $11.11 | Not available in this setting | RVU26D |
| 2026-07-01 | $11.11 | Not available in this setting | RVU26C |
| 2026-04-01 | $11.11 | Not available in this setting | RVU26B |
| 2026-01-01 | $11.11 | Not available in this setting | RVU26A |
| 2025-10-01 | $10.61 | Not available in this setting | RVU25D |
| 2025-07-01 | $10.61 | Not available in this setting | RVU25C |
| 2025-04-01 | $10.61 | Not available in this setting | RVU25B |
| 2025-01-01 | $10.61 | Not available in this setting | RVU25A |
| 2024-10-01 | $11.22 | Not available in this setting | RVU24D |
| 2024-07-01 | $11.22 | Not available in this setting | RVU24C |
| 2024-04-01 | $11.22 | Not available in this setting | RVU24B |
| 2024-03-09 | $11.22 | Not available in this setting | RVU24AR |
| 2024-01-01 | $11.03 | Not available in this setting | RVU24A |
| 2023-10-01 | $11.38 | Not available in this setting | RVU23D |
| 2023-07-01 | $11.38 | Not available in this setting | RVU23C |
| 2023-04-01 | $11.38 | Not available in this setting | RVU23B |
| 2023-01-01 | $11.38 | Not available in this setting | RVU23A |
| 2022-10-01 | $11.59 | Not available in this setting | RVU22D |
| 2022-07-01 | $11.59 | Not available in this setting | RVU22C |
| 2022-04-01 | $11.59 | Not available in this setting | RVU22B |
| 2022-01-01 | $11.59 | Not available in this setting | RVU22A |
| 2021-10-01 | $11.69 | Not available in this setting | RVU21D |
| 2021-07-01 | $11.69 | Not available in this setting | RVU21C |
| 2021-04-01 | $11.69 | Not available in this setting | RVU21B |
| 2021-01-01 | $11.69 | Not available in this setting | RVU21A |
| 2020-10-01 | $11.51 | Not available in this setting | RVU20D |
| 2020-07-01 | $11.51 | Not available in this setting | RVU20C |
| 2020-04-01 | $11.51 | Not available in this setting | RVU20B |
| 2020-01-01 | $11.51 | Not available in this setting | RVU20A |
| 2019-10-01 | $11.88 | Not available in this setting | RVU19D |
| 2019-07-01 | $11.88 | Not available in this setting | RVU19C |
| 2019-04-01 | $11.88 | Not available in this setting | RVU19B |
| 2019-01-01 | $11.88 | Not available in this setting | RVU19A |
| 2018-10-01 | $11.87 | Not available in this setting | RVU18D |
| 2018-07-01 | $11.87 | Not available in this setting | RVU18C |
| 2018-04-01 | $11.87 | Not available in this setting | RVU18B |
| 2018-01-01 | Rate data unavailable | Not available in this setting | RVU18AR1 |
| 2017-10-01 | Rate data unavailable | Not available in this setting | RVU17D |
| 2017-07-01 | Rate data unavailable | Not available in this setting | RVU17C |
| 2017-04-01 | Rate data unavailable | Not available in this setting | RVU17B |
| 2017-01-01 | Rate data unavailable | Not available in this setting | RVU17A |
| 2016-10-01 | Rate data unavailable | Not available in this setting | RVU16D |
| 2016-07-01 | Rate data unavailable | Not available in this setting | RVU16C |
| 2016-04-01 | Rate data unavailable | Not available in this setting | RVU16B |
| 2016-01-01 | Rate data unavailable | Not available in this setting | RVU16A |
| 2015-10-01 | Rate data unavailable | Not available in this setting | RVU15D |
| 2015-07-01 | Rate data unavailable | Not available in this setting | RVU15C |
| 2015-04-01 | Rate data unavailable | Not available in this setting | RVU15B |
| 2015-01-01 | Rate data unavailable | Not available in this setting | RVU15A |
| 2014-10-01 | Rate data unavailable | Not available in this setting | RVU14D |
| 2014-07-01 | Rate data unavailable | Not available in this setting | RVU14C |
| 2014-04-01 | Rate data unavailable | Not available in this setting | RVU14B |
| 2014-01-01 | Rate data unavailable | Not available in this setting | RVU14A |
| 2013-10-01 | Rate data unavailable | Not available in this setting | RVU13D |
| 2013-07-01 | Rate data unavailable | Not available in this setting | RVU13C |
| 2013-04-01 | Rate data unavailable | Not available in this setting | RVU13B |
| 2013-01-01 | Rate data unavailable | Not available in this setting | RVU13AR |
Where the Tennessee rate applies
Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.
- Adams
- Adamsville
- Alamo
- Alcoa
- Alexandria
- Algood
- Allardt
- Altamont
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
Show the CMS file lines behind this rate
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