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

CMS doesn’t publish an office rate for 95134 in Texas.

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

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 in Texas

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

8 of 8 payment localities

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.

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.

95134 compared with similar codes

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.

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