CPT code 95133: Insect immunotherapy, four stinging insects2026 Medicare rate & RVUs in Florida
Identifies allergen immunotherapy for four stinging insects, selected by the number of insect allergens addressed in the service.
CMS doesn’t publish an office rate for 95133 in Florida.
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 95133 covers
Code 95133 identifies allergen immunotherapy associated with four stinging insects. It is part of the stinging-insect immunotherapy series, whose neighboring codes distinguish other insect counts. Allergy specialists commonly manage this treatment for patients with reactions to insect stings. Selection follows the number of stinging-insect allergens addressed, rather than the number of injections given.
Medicare classifies 95133 as status I, meaning the code is not valid for Medicare; Medicare uses a different code to report and pay for the service. Do not submit 95133 to Medicare as the service code. In the 95130–95134 series, choose the sibling matching the number of stinging insects involved: one, two, three, four, or five. The four-insect count is the distinguishing feature of 95133.
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 95133 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.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | Unavailable |
| Miami, FL | Unavailable | Unavailable |
| Rest of Florida | Unavailable | Unavailable |
How the 95133 rate is calculated
Each of 95133’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 · 95133
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 95133
95133 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 · 95133
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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95133 isn’t priced in this setting.
95133 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 95132Venom immunotherapyThree venoms
- 95132 identifies immunotherapy associated with three stinging insects; 95133 identifies four.
- 95134Venom immunotherapyFive insect types
- 95134 identifies immunotherapy associated with five stinging insects; 95133 identifies four.
- 95131Venom immunotherapyTwo insect venoms
- 95131 identifies immunotherapy associated with two stinging insects; 95133 identifies four.
95133 billing questions
How does 95133 differ from 95132 or 95134?
95133 identifies immunotherapy for four stinging insects. 95132 identifies three, while 95134 identifies five.
Does the four-insect count mean four injections?
No. The count distinguishes the number of stinging insects in the immunotherapy service, not the number of injections.
What should the documentation support?
Documentation should support the stinging-insect allergens addressed and the selection of the four-insect code.
Can 95133 be reported to Medicare?
No. Medicare assigns it status I and uses a different code to report and pay for the service.
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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