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CPT code 95180: Rapid desensitization, hourly service2026 Medicare rate & RVUs in Los Angeles, CA

Reports monitored, stepwise medication desensitization performed over multiple hours to help a patient with drug hypersensitivity receive a needed therapy.

CMS RVU26DEffective Oct 1, 2026One payment locality11.8K Medicare services in 2024

In Los Angeles, CA, Medicare pays $152.05 for 95180 in the office and $91.99 when it’s performed in a hospital or facility.

$152.05Office (non-facility)
$91.99Hospital or facility
+10.5%vs the national office rate ($137.61)

Check a contract rate as a % of Medicare · 95180 nationwide

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

We’ll open 95180 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Los Angeles, CA
  2. What 95180 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 95180 covers

An allergist uses rapid desensitization to gradually increase a patient’s exposure to a medication that has caused or may cause an immediate hypersensitivity reaction. Examples include antibiotics, aspirin, chemotherapy agents, and biologic drugs when desensitization is needed to permit treatment. The clinician administers escalating doses under close observation for reactions, commonly in a monitored outpatient setting or hospital environment equipped to respond to acute symptoms.

Report 95180 by the hour, supported by documentation of the procedure’s duration and the dosing protocol. The record should identify the medication, dose escalation, monitoring, any reactions, and whether the protocol was completed or stopped. Physician supervision and interpretation are included in the service. This is distinct from routine scheduled allergen immunotherapy injections, which do not involve a prolonged medication desensitization protocol.

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.

How Los Angeles, CA compares for 95180

Across 109 of 109 payment localities, the office rate for 95180 runs from $126.87 in Arkansas to $174.56 in Alaska. Los Angeles, CA pays $152.05. The RVUs are the same everywhere; the geographic indexes change the dollars.

95180 in Los Angeles, CA vs other payment areas
  1. Los Angeles, CA · this page$152.05
  2. Bakersfield, CA · California$144.51−$7.54
  3. Chico, CA · California$144.21−$7.84
  4. El Centro, CA · California$144.22−$7.83
  5. Fresno, CA · California$144.21−$7.84
  6. Hanford, CA · California$144.21−$7.84
  7. Madera, CA · California$144.21−$7.84

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

95180 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia$144.21$88.57
Modesto, CACalifornia$144.21$88.57
Napa, CACalifornia$162.36$95.44
Oxnard, CACalifornia$151.01$91.00
Redding, CACalifornia$144.21$88.57
Rest of CaliforniaCalifornia$144.21$88.57
Riverside, CACalifornia$145.02$89.37
Sacramento, CACalifornia$150.05$91.01

95180 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.

$126.87

$174.56

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
95180 office rate range by state
State / territoryOffice rate rangeLocalities
AK$174.561
AL$128.081
AR$126.871
AZ$135.161
CA$144.21–$174.0329
CO$142.271
CT$144.691
DC$153.631
DE$136.891
FL$135.79–$143.983
GA$130.70–$139.372
GU$145.961
HI$145.961
IA$130.411
ID$130.931
IL$133.00–$141.734
IN$131.441
KS$129.911
KY$129.851
LA$129.68–$133.912
MA$141.82–$153.332
MD$138.91–$153.633
ME$131.28–$136.142
MI$131.99–$136.832
MN$137.941
MO$128.15–$134.353
MS$127.531
MT$137.611
NC$132.201
ND$136.221
NE$130.911
NH$140.111
NJ$146.79–$152.902
NM$132.431
NV$137.291
NY$133.51–$156.795
OH$131.701
OK$129.801
OR$136.64–$145.652
PA$131.90–$142.072
PR$138.331
RI$140.881
SC$132.081
SD$136.061
TN$130.331
TX$131.31–$141.438
UT$133.281
VA$135.77–$153.632
VI$138.331
VT$135.781
WA$141.54–$156.012
WI$133.131
WV$129.691
WY$137.001

See 95180 in every payment locality

How the 95180 rate is calculated

Each of 95180’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 · 95180

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.01

2.01 RVUs× 1.000 GPCI

Practice expense2.04

2.04 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

4.1200

Conversion factor

$33.4009

Medicare rate

$137.61

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Los Angeles, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,489

Code
95180
Physician work
2.01
Practice expense
2.04
Malpractice
0.07

GPCI2026.csv

13

Locality
Los Angeles, CA
Physician work
1.041
Practice expense
1.183
Malpractice
0.664
Office calculation for 95180 in Los Angeles, CA
ComponentRVULocality factorAdjusted
Physician work2.01× 1.0412.0924
Practice expense2.04× 1.1832.4133
Malpractice0.07× 0.6640.0465
Total RVUs4.5522
Conversion factor× 33.4009

Office rate, Los Angeles, CA$152.05

Office: (2.01 × 1.041 + 2.04 × 1.183 + 0.07 × 0.664) × $33.4009 = $152.05

Facility: (2.01 × 1.041 + 0.52 × 1.183 + 0.07 × 0.664) × $33.4009 = $91.99

Open 95180 in the RVU calculator

Payment rules and modifiers for 95180

95180 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 · 95180

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

$137.61

Non-facility (office)
$137.61
Facility
$86.84

Higher because the practice carries its own overhead.

Codes related to 95180

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

Codes related to 95180
CodeHow it relatesOffice range, Los Angeles, CA
Used instead
95115Allergy shot, single injection, extract not includedRoutine single-injection allergen immunotherapy administration, not prolonged medication desensitization.$12.08
95117Allergy shots, two or more injections, extract not includedRoutine multiple-injection allergen immunotherapy administration, rather than hourly dose escalation.$14.45
95199Unlisted service, allergy or immunologyUnlisted allergy or immunology service when no specific code describes the procedure.No office rate

How 95180 has changed in Los Angeles, CA

95180 · Office / nonfacility

$152.05

Effective 2026-10-01

The base rate is $1.25 higher than on 2025-10-01, moving from $150.80 to $152.05 (0.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $150.80changed to$152.05

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 2.11 changed to 2.04
    • Work GPCI 1.042 changed to 1.041
    • Practice expense GPCI 1.194 changed to 1.183
    • Malpractice GPCI 0.690 changed to 0.664

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $153.43changed to$150.80

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.06 changed to 2.11
    • Malpractice RVU 0.08 changed to 0.07

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $150.93changed to$153.43

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $152.65changed to$150.93

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.98 changed to 2.06
    • Work GPCI 1.045 changed to 1.042
    • Practice expense GPCI 1.185 changed to 1.194
    • Malpractice GPCI 0.724 changed to 0.690

  5. January 1, 2023

    RVU23A

    $152.11changed to$152.65

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.89 changed to 1.98
    • Malpractice RVU 0.09 changed to 0.08
    • Work GPCI 1.048 changed to 1.045
    • Practice expense GPCI 1.175 changed to 1.185
    • Malpractice GPCI 0.757 changed to 0.724

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $151.73changed to$152.11

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.85 changed to 1.89

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $153.43changed to$151.73

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.77 changed to 1.85
    • Work GPCI 1.047 changed to 1.048
    • Practice expense GPCI 1.176 changed to 1.175
    • Malpractice GPCI 0.725 changed to 0.757

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $155.40changed to$153.43

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.83 changed to 1.77
    • Malpractice RVU 0.08 changed to 0.09
    • Work GPCI 1.046 changed to 1.047
    • Practice expense GPCI 1.177 changed to 1.176
    • Malpractice GPCI 0.694 changed to 0.725

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $152.68changed to$155.40

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.77 changed to 1.83

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $148.31changed to$152.68

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.68 changed to 1.77
    • Work GPCI 1.047 changed to 1.046
    • Practice expense GPCI 1.169 changed to 1.177
    • Malpractice GPCI 0.801 changed to 0.694

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $148.20changed to$148.31

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.69 changed to 1.68
    • Practice expense GPCI 1.161 changed to 1.169
    • Malpractice GPCI 0.908 changed to 0.801

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $148.41changed to$148.20

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.07 changed to 0.08

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $147.67changed to$148.41

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $147.49changed to$147.67

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.70 changed to 1.69
    • Work GPCI 1.042 changed to 1.047
    • Practice expense GPCI 1.158 changed to 1.161
    • Malpractice GPCI 0.775 changed to 0.908

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $144.23changed to$147.49

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.83 changed to 1.70
    • Work GPCI 1.036 changed to 1.042
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.642 changed to 0.775

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$144.23

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$152.05$91.99RVU26D
2026-07-01$152.05$91.99RVU26C
2026-04-01$152.05$91.99RVU26B
2026-01-01$152.05$91.99RVU26A
2025-10-01$150.80$106.77RVU25D
2025-07-01$150.80$106.77RVU25C
2025-04-01$150.80$106.77RVU25B
2025-01-01$150.80$106.77RVU25A
2024-10-01$153.43$108.92RVU24D
2024-07-01$153.43$108.92RVU24C
2024-04-01$153.43$108.92RVU24B
2024-03-09$153.43$108.92RVU24AR
2024-01-01$150.93$107.14RVU24A
2023-10-01$152.65$110.08RVU23D
2023-07-01$152.65$110.08RVU23C
2023-04-01$152.65$110.08RVU23B
2023-01-01$152.65$110.08RVU23A
2022-10-01$152.11$111.44RVU22D
2022-07-01$152.11$111.44RVU22C
2022-04-01$152.11$111.44RVU22B
2022-01-01$152.11$111.44RVU22A
2021-10-01$151.73$111.55RVU21D
2021-07-01$151.73$111.55RVU21C
2021-04-01$151.73$111.55RVU21B
2021-01-01$151.73$111.55RVU21A
2020-10-01$153.43$114.38RVU20D
2020-07-01$153.43$114.38RVU20C
2020-04-01$153.43$114.38RVU20B
2020-01-01$153.43$114.38RVU20A
2019-10-01$155.40$114.68RVU19D
2019-07-01$155.40$114.68RVU19C
2019-04-01$155.40$114.68RVU19B
2019-01-01$155.40$114.68RVU19A
2018-10-01$152.68$112.43RVU18D
2018-07-01$152.68$112.43RVU18C
2018-04-01$152.68$112.43RVU18B
2018-01-01$152.68$112.43RVU18AR1
2017-10-01$148.31$110.55RVU17D
2017-07-01$148.31$110.55RVU17C
2017-04-01$148.31$110.55RVU17B
2017-01-01$148.31$110.55RVU17A
2016-10-01$148.20$110.37RVU16D
2016-07-01$148.20$110.37RVU16C
2016-04-01$148.20$110.37RVU16B
2016-01-01$148.20$110.37RVU16A
2015-10-01$148.41$110.45RVU15D
2015-07-01$148.41$110.45RVU15C
2015-04-01$147.67$109.90RVU15B
2015-01-01$147.67$109.90RVU15A
2014-10-01$147.49$109.74RVU14D
2014-07-01$147.49$109.74RVU14C
2014-04-01$147.49$109.74RVU14B
2014-01-01$147.49$109.74RVU14A
2013-10-01$144.23$105.36RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 95180 for an earlier date of service

Where the Los Angeles, CA rate applies

Los Angeles, CA is a Medicare payment area, not a city. Our Census mapping connects it to 189 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Anaheim
  • Long Beach
  • Los Angeles
  • Orange
  • Acton
  • Agoura Hills
  • Agua Dulce
  • Alhambra

Browse all communities in California

95180 billing questions

When should 95180 be used instead of routine allergy injection codes?

Use 95180 for a prolonged, monitored escalation of medication doses to desensitize a patient. Routine allergen immunotherapy injections are reported with codes such as 95115 or 95117.

How are units reported?

The code is reported by the hour. Document the procedure’s duration and dosing protocol to support the units billed.

Is physician supervision separately reported?

Physician supervision and interpretation are included in 95180. The clinician’s monitoring and response to dose-related symptoms should be documented as part of the procedure.

What details should the medical record include?

Document the medication being desensitized, the dose-escalation steps, procedure duration, patient monitoring, any reaction and treatment, and whether the protocol was completed.

Can 95180 be used for ordinary venom or environmental allergy shots?

No. Those are routine allergen immunotherapy services; 95180 describes a rapid desensitization procedure involving stepwise medication dosing.

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
RVUs for 95180PPRRVU2026_Oct_nonQPP.csv, line 12,489 (RVU26D)
Geographic factors for Los Angeles, CAGPCI2026.csv, line 13 (RVU26D)

Open CMS sourceHow we calculate rates

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