CPT code 95147: Antigen preparation, three stinging insect venoms2026 Medicare rate & RVUs in Maryland
Report 95147 for supervised preparation and provision of a treatment dose containing three stinging insect venoms for allergen immunotherapy.
Medicare pays $60.81–$70.55 for 95147 in the office in Maryland, from Rest of Maryland to Washington, DC area. Which amount applies depends on the service address.
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 95147 covers
95147 represents the allergy practice’s professional service for supervising preparation and provision of a treatment dose made with three distinct stinging insect venom extracts. It is used in venom immunotherapy, such as treatment for a patient whose prescribed regimen includes three venom types. An allergist or another qualified physician typically directs the service; trained practice staff may perform preparation under that supervision. The injection itself is a separate service from the antigen preparation and provision represented here.
Select this code by the number of venom types in the prepared dose, not by the number of injection sites or injections given. Keep records identifying the prescribed venoms, preparation and dose details, and the supervising professional. When an immunotherapy injection is administered, report the applicable injection service separately. CMS assigns this service substantially more office practice-expense value than physician-work value, with a much smaller facility practice-expense value.
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 95147 pays more and less in Maryland
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$60.81 to $70.55
| Payment locality | Office | Facility |
|---|---|---|
| Baltimore area, MD | $64.45 | $2.81 |
| Rest of Maryland | $60.81 | $2.67 |
| Washington, DC area | $70.55 | $2.88 |
How the 95147 rate is calculated
Each of 95147’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 · 95147
RVUs × geographic indexes × conversion factor
Work0.06
0.06 RVUs× 1.000 GPCI
Practice expense1.73
1.73 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
1.8000
Conversion factor
$33.4009
Medicare rate
$60.12
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 95147
95147 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 · 95147
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$60.12
- Non-facility (office)
- $60.12
- Facility
- $2.67
Higher because the practice carries its own overhead.
95147 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 95146Venom antigen preparationTwo venom types
- Use 95146 when the prepared dose contains two venom types; 95147 represents three.
- 95148Venom antigen preparationFour insect venoms
- Use 95148 when the prepared dose contains four venom types; 95147 represents three.
- 95130Venom immunotherapyOne insect venom
- 95130 describes office-based venom immunotherapy with extract provision and a single injection for one venom. 95147 covers preparation and provision for three venoms, not the injection.
- 95165Allergy extract preparationMultidose vials, per dose
- 95165 is used for preparation of non-venom allergenic extracts. 95147 is specific to a dose containing three stinging insect venoms.
95147 billing questions
When should 95147 be selected instead of 95146 or 95148?
Select 95147 when the prepared treatment dose contains three distinct stinging insect venoms. The neighboring codes represent doses with two or four venom types.
Does 95147 include administering the injection?
No. It represents supervision of antigen preparation and provision; report the appropriate immunotherapy injection service separately when an injection is administered.
What documentation supports 95147?
Document the three venom types in the prescribed preparation, the dose prepared or provided, and the professional supervision of the service.
How should units reflect the service?
Keep units tied to the treatment doses prepared and provided, supported by the practice’s dose and preparation records. Do not count injection sites as antigen-preparation units.
Can 95147 be reported with an injection code?
Yes, when the practice also administers an immunotherapy injection, the preparation/provision service and injection service describe distinct work. Choose the injection code based on the number of injections.
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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