CPT code 95125: Allergen immunotherapy, two or more injections2026 Medicare rate & RVUs in Missouri
This code describes allergen immunotherapy with extracts supplied for a visit in which two or more injections are administered; Medicare uses a different reporting code.
CMS doesn’t publish an office rate for 95125 in Missouri.
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 95125 covers
This code represents allergen immunotherapy when the service includes the allergenic extracts and the patient receives at least two injections during the encounter. Allergy specialists commonly provide the treatment in an office setting for patients receiving allergen immunotherapy for conditions such as allergic rhinitis or allergic asthma. The count is based on injections administered, not the number of allergens combined in an extract mixture; a mixture administered in one injection remains one injection.
For Medicare claims, 95125 has status I and is not valid for reporting or payment; Medicare uses a different code to report and pay for this service. For two or more allergen injections, 95117 reports administration without the extract provision. 95125 distinguishes the service by including the allergenic extracts as well as administration. Its injection count is two or more per visit.
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 95125 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | Unavailable |
| Metropolitan St. Louis, MO | Unavailable | Unavailable |
| Rest of Missouri | Unavailable | Unavailable |
How the 95125 rate is calculated
Each of 95125’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 · 95125
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
0.0000
Conversion factor
$33.4009
Medicare rate
$0.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 95125
95125 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 · 95125
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
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95125 isn’t priced in this setting.
95125 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 95117Allergy shotsTwo or more injections, extract not included
- Both relate to two or more allergen injections, but 95117 reports administration without extract provision. Medicare uses 95117 for the administration service.
- 95120Allergen immunotherapyOne injection with extract
- 95120 includes allergenic extracts for one injection; 95125 includes them when two or more injections are given.
- 95115Allergy shotSingle injection, extract not included
- 95115 is for one allergen injection without extract provision. 95125 includes extracts and is for two or more injections.
95125 billing questions
Does this code include the allergenic extracts?
Yes. It represents allergen immunotherapy with the extracts supplied as part of the service.
How is this different from 95117?
Both relate to two or more allergen injections, but 95125 includes the extracts. Code 95117 reports administration without extract provision and is the Medicare code for this administration service.
Does the number of allergens determine whether this code applies?
No. The count is based on injections administered, not the number of allergens in a mixture.
Can this code be reported to Medicare?
No. Medicare assigns 95125 status I and uses a different code to report and pay for the service; 95117 reports administration of two or more allergen injections.
Which code describes one injection with extracts provided?
95120 is the single-injection sibling that includes provision of the allergenic extracts.
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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