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CPT code 95134: Venom immunotherapy, five insect types2026 Medicare rate & RVUs

Identifies an immunotherapy service associated with five stinging-insect types, distinguished from sibling codes by the number of insects represented.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · 95134

Venom immunotherapy, five insect types

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for 95134 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 95134 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 95134 covers

Code 95134 identifies an immunotherapy service associated with five stinging-insect types. The count distinguishes it from sibling codes for services associated with one, two, three, or four stinging-insect types. It is not an injection-count distinction: codes such as 95115 and 95117 identify immunotherapy injection services rather than the number of insect types.

For Medicare, status I means this code is not valid for reporting; Medicare uses a different code to report and pay for the service. The five-insect distinction identifies this code within its series. It does not mean that five injections or doses are reported. The code describes the service by the number of stinging-insect types involved, while injection-service codes describe a different aspect of immunotherapy.

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 95134 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

95134 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

95134 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

View every state and territory as a table
95134 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 95134 rate is calculated

Each of 95134’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 · 95134

RVUs × geographic indexes × conversion factor

Office or facility?

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 95134

95134 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 · 95134

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

—

95134 isn’t priced in this setting.

95134 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 95134

    Venom immunotherapy, five insect types0 wRVU

    Not priced

  • 95133

    Insect immunotherapy, four stinging insects0 wRVU

    Not priced

  • 95117

    Allergy shots, two or more injections, extract not included0 wRVU

    $12.36

  • 95165

    Allergy extract preparation, multidose vials, per dose0.06 wRVU

    $17.37

How to choose

95133Insect immunotherapyFour stinging insects
95133 is associated with four stinging-insect types; 95134 is associated with five.
95117Allergy shotsTwo or more injections, extract not included
95117 identifies immunotherapy injection services. 95134 distinguishes the service by five stinging-insect types.
95165Allergy extract preparationMultidose vials, per dose
95165 is an antigen therapy services code; 95134 identifies an immunotherapy service associated with five stinging-insect types.

Codes related to 95134

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

Codes related to 95134
CodeHow it relatesNational office range
Same family
95133Insect immunotherapy, four stinging insectsSibling code associated with four stinging-insect types.No office rate
95132Venom immunotherapy, three venomsSibling code associated with three stinging-insect types.No office rate
95131Venom immunotherapy, two insect venomsSibling code associated with two stinging-insect types.No office rate
95130Venom immunotherapy, one insect venomSibling code associated with one stinging-insect type.No office rate

95134 billing questions

How does 95134 differ from 95133?

95134 is associated with five stinging-insect types; 95133 is associated with four.

Does the five refer to five injections?

No. It refers to the number of stinging-insect types, not the number of injections or doses.

Can 95134 be reported to Medicare?

No. Medicare assigns status I and uses a different code to report and pay for the service.

How does 95134 differ from 95117?

95134 distinguishes a service by five stinging-insect types. 95117 identifies immunotherapy injection services, not a count of insect types.

How does 95134 differ from 95165?

95134 identifies a service associated with five stinging-insect types; 95165 is an antigen therapy services code.

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

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