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CPT code 95180: Rapid desensitization, hourly service2026 Medicare rate & RVUs in Washington, DC area

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 Washington, DC area, Medicare pays $153.63 for 95180 in the office and $93.82 when it’s performed in a hospital or facility.

$153.63Office (non-facility)
$93.82Hospital or facility
+11.6%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 Washington, DC area
  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 Washington, DC area 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. Washington, DC area pays $153.63. The RVUs are the same everywhere; the geographic indexes change the dollars.

95180 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$153.63
  2. Los Angeles, CA · California$152.05−$1.58
  3. Miami, FL · Florida$143.98−$9.65
  4. Chicago, IL · Illinois$141.45−$12.18
  5. Manhattan, NY · New York$154.32+$0.69
  6. Alaska · Alaska$174.56+$20.93
  7. Alabama · Alabama$128.08−$25.55

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

95180 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$126.87$83.26
ArizonaArizona$135.16$85.97
Bakersfield, CACalifornia$144.51$88.87
Chico, CACalifornia$144.21$88.57
El Centro, CACalifornia$144.22$88.58
Fresno, CACalifornia$144.21$88.57
Hanford, CACalifornia$144.21$88.57
Madera, CACalifornia$144.21$88.57

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 Washington, DC area 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

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 95180 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work2.01× 1.0542.1185
Practice expense2.04× 1.1782.4031
Malpractice0.07× 1.1130.0779
Total RVUs4.5996
Conversion factor× 33.4009

Office rate, Washington, DC area$153.63

Office: (2.01 × 1.054 + 2.04 × 1.178 + 0.07 × 1.113) × $33.4009 = $153.63

Facility: (2.01 × 1.054 + 0.52 × 1.178 + 0.07 × 1.113) × $33.4009 = $93.82

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, Washington, DC area
Used instead
95115Allergy shot, single injection, extract not includedRoutine single-injection allergen immunotherapy administration, not prolonged medication desensitization.$12.18
95117Allergy shots, two or more injections, extract not includedRoutine multiple-injection allergen immunotherapy administration, rather than hourly dose escalation.$14.54
95199Unlisted service, allergy or immunologyUnlisted allergy or immunology service when no specific code describes the procedure.No office rate

How 95180 has changed in Washington, DC area

95180 · Office / nonfacility

$153.63

Effective 2026-10-01

The base rate is $0.91 higher than on 2025-10-01, moving from $152.72 to $153.63 (0.6%).

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

    $152.72changed to$153.63

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 2.11 changed to 2.04
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $155.57changed to$152.72

    • 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

    $153.03changed to$155.57

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $156.72changed to$153.03

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.98 changed to 2.06
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $158.19changed to$156.72

    • 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 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $157.77changed to$158.19

    • 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

    $158.24changed to$157.77

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.77 changed to 1.85
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $158.81changed to$158.24

    • 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 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $156.03changed to$158.81

    • 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

    $151.90changed to$156.03

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.68 changed to 1.77
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $152.22changed to$151.90

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.69 changed to 1.68
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $152.31changed to$152.22

    • 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

    $151.55changed to$152.31

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $151.83changed to$151.55

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.70 changed to 1.69
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $149.02changed to$151.83

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.83 changed to 1.70
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $149.02

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$153.63$93.82RVU26D
2026-07-01$153.63$93.82RVU26C
2026-04-01$153.63$93.82RVU26B
2026-01-01$153.63$93.82RVU26A
2025-10-01$152.72$108.77RVU25D
2025-07-01$152.72$108.77RVU25C
2025-04-01$152.72$108.77RVU25B
2025-01-01$152.72$108.77RVU25A
2024-10-01$155.57$111.13RVU24D
2024-07-01$155.57$111.13RVU24C
2024-04-01$155.57$111.13RVU24B
2024-03-09$155.57$111.13RVU24AR
2024-01-01$153.03$109.32RVU24A
2023-10-01$156.72$113.11RVU23D
2023-07-01$156.72$113.11RVU23C
2023-04-01$156.72$113.11RVU23B
2023-01-01$156.72$113.11RVU23A
2022-10-01$158.19$115.41RVU22D
2022-07-01$158.19$115.41RVU22C
2022-04-01$158.19$115.41RVU22B
2022-01-01$158.19$115.41RVU22A
2021-10-01$157.77$115.51RVU21D
2021-07-01$157.77$115.51RVU21C
2021-04-01$157.77$115.51RVU21B
2021-01-01$157.77$115.51RVU21A
2020-10-01$158.24$117.70RVU20D
2020-07-01$158.24$117.70RVU20C
2020-04-01$158.24$117.70RVU20B
2020-01-01$158.24$117.70RVU20A
2019-10-01$158.81$117.12RVU19D
2019-07-01$158.81$117.12RVU19C
2019-04-01$158.81$117.12RVU19B
2019-01-01$158.81$117.12RVU19A
2018-10-01$156.03$114.82RVU18D
2018-07-01$156.03$114.82RVU18C
2018-04-01$156.03$114.82RVU18B
2018-01-01$156.03$114.82RVU18AR1
2017-10-01$151.90$112.98RVU17D
2017-07-01$151.90$112.98RVU17C
2017-04-01$151.90$112.98RVU17B
2017-01-01$151.90$112.98RVU17A
2016-10-01$152.22$112.96RVU16D
2016-07-01$152.22$112.96RVU16C
2016-04-01$152.22$112.96RVU16B
2016-01-01$152.22$112.96RVU16A
2015-10-01$152.31$112.90RVU15D
2015-07-01$152.31$112.90RVU15C
2015-04-01$151.55$112.34RVU15B
2015-01-01$151.55$112.34RVU15A
2014-10-01$151.83$112.64RVU14D
2014-07-01$151.83$112.64RVU14C
2014-04-01$151.83$112.64RVU14B
2014-01-01$151.83$112.64RVU14A
2013-10-01$149.02$108.67RVU13D
2013-07-01$149.02$108.67RVU13C
2013-04-01$149.02$108.67RVU13B
2013-01-01$149.02$108.67RVU13AR

Price 95180 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

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 Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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