CPT code 95180: Rapid desensitization, hourly service2026 Medicare rate & RVUs in Virginia
Reports monitored, stepwise medication desensitization performed over multiple hours to help a patient with drug hypersensitivity receive a needed therapy.
In Virginia, Medicare pays $135.77 for 95180 in the office and $85.86 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Virginia 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. Virginia pays $135.77. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virginia · this page$135.77
- Los Angeles, CA · California$152.05+$16.28
- Washington, DC area · District of Columbia$153.63+$17.86
- Miami, FL · Florida$143.98+$8.21
- Chicago, IL · Illinois$141.45+$5.68
- Manhattan, NY · New York$154.32+$18.55
- Alaska · Alaska$174.56+$38.79
Other areas in Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $128.08 | $83.66 |
| 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 |
| 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 |
| Salinas, CACalifornia | $149.44 | $90.60 |
| San Diego, CACalifornia | $151.91 | $91.19 |
| Marin County, CACalifornia | $170.66 | $99.08 |
| San Francisco, CACalifornia | $170.58 | $99.00 |
| San Benito County, CACalifornia | $174.03 | $100.82 |
| Santa Clara County, CACalifornia | $173.70 | $100.49 |
| San Luis Obispo, CACalifornia | $147.14 | $89.31 |
| Santa Cruz, CACalifornia | $152.59 | $90.90 |
| Santa Maria, CACalifornia | $149.72 | $90.52 |
| Santa Rosa, CACalifornia | $154.08 | $91.73 |
| Stockton, CACalifornia | $144.21 | $88.57 |
| Vallejo, CACalifornia | $162.24 | $95.33 |
| Visalia, CACalifornia | $144.21 | $88.57 |
| Yuba City, CACalifornia | $144.21 | $88.57 |
| ColoradoColorado | $142.27 | $88.25 |
| ConnecticutConnecticut | $144.69 | $90.01 |
| DelawareDelaware | $136.89 | $86.73 |
| Fort Lauderdale, FLFlorida | $140.39 | $88.96 |
| Rest of FloridaFlorida | $135.79 | $87.25 |
| Atlanta, GAGeorgia | $139.37 | $87.79 |
| Rest of GeorgiaGeorgia | $130.70 | $85.42 |
| Hawaii, Guam, HIHawaii | $145.96 | $88.24 |
| IowaIowa | $130.41 | $83.96 |
| IdahoIdaho | $130.93 | $84.22 |
| East St. Louis, ILIllinois | $134.53 | $87.82 |
| Rest of IllinoisIllinois | $133.00 | $86.65 |
| Suburban Chicago, ILIllinois | $141.73 | $89.59 |
| IndianaIndiana | $131.44 | $84.37 |
| KansasKansas | $129.91 | $84.02 |
| KentuckyKentucky | $129.85 | $84.72 |
| New Orleans, LALouisiana | $133.91 | $86.14 |
| Rest of LouisianaLouisiana | $129.68 | $84.75 |
| Metropolitan Boston, MAMassachusetts | $153.33 | $92.71 |
| Rest of MassachusettsMassachusetts | $141.82 | $88.36 |
| Baltimore area, MDMaryland | $144.21 | $89.74 |
| Rest of MarylandMaryland | $138.91 | $87.53 |
| Rest of MaineMaine | $131.28 | $84.57 |
| Southern Maine, MEMaine | $136.14 | $85.82 |
| Detroit, MIMichigan | $136.83 | $87.84 |
| Rest of MichiganMichigan | $131.99 | $85.63 |
| MinnesotaMinnesota | $137.94 | $85.70 |
| Metropolitan Kansas City, MOMissouri | $133.40 | $85.73 |
| Metropolitan St. Louis, MOMissouri | $134.35 | $86.01 |
| Rest of MissouriMissouri | $128.15 | $84.38 |
| MississippiMississippi | $127.53 | $83.82 |
| MontanaMontana | $137.61 | $86.84 |
| North CarolinaNorth Carolina | $132.20 | $84.83 |
| North DakotaNorth Dakota | $136.22 | $85.45 |
| NebraskaNebraska | $130.91 | $84.05 |
| New HampshireNew Hampshire | $140.11 | $87.26 |
| Northern New JerseyNew Jersey | $152.90 | $94.01 |
| Rest of New JerseyNew Jersey | $146.79 | $91.35 |
| New MexicoNew Mexico | $132.43 | $85.87 |
| NevadaNevada | $137.29 | $86.47 |
| NYC suburbs and Long Island, NYNew York | $156.79 | $96.43 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $147.60 | $92.00 |
| Queens, NYNew York | $155.34 | $95.33 |
| Rest of New YorkNew York | $133.51 | $85.28 |
| OhioOhio | $131.70 | $85.35 |
| OklahomaOklahoma | $129.80 | $84.46 |
| Portland, OROregon | $145.65 | $89.25 |
| Rest of OregonOregon | $136.64 | $86.08 |
| Metropolitan Philadelphia, PAPennsylvania | $142.07 | $89.21 |
| Rest of PennsylvaniaPennsylvania | $131.90 | $85.29 |
| Puerto RicoPuerto Rico | $138.33 | $87.00 |
| Rhode IslandRhode Island | $140.88 | $88.44 |
| South CarolinaSouth Carolina | $132.08 | $85.17 |
| South DakotaSouth Dakota | $136.06 | $85.29 |
| TennesseeTennessee | $130.33 | $84.18 |
| Austin, TXTexas | $141.43 | $87.72 |
| Beaumont, TXTexas | $131.31 | $85.11 |
| Brazoria, TXTexas | $137.02 | $86.71 |
| Dallas, TXTexas | $137.61 | $87.05 |
| Fort Worth, TXTexas | $136.96 | $86.90 |
| Galveston, TXTexas | $137.27 | $86.86 |
| Houston, TXTexas | $138.55 | $88.14 |
| Rest of TexasTexas | $133.91 | $85.73 |
| UtahUtah | $133.28 | $85.56 |
| Virgin Islands, VIUnited States Virgin Islands | $138.33 | $87.00 |
| VermontVermont | $135.78 | $85.51 |
| Rest of WashingtonWashington | $141.54 | $88.08 |
| King County, WAWashington | $156.01 | $93.71 |
| WisconsinWisconsin | $133.13 | $84.49 |
| West VirginiaWest Virginia | $129.69 | $85.57 |
| WyomingWyoming | $137.00 | $86.23 |
95180 rates by state
Office rate range in each state. Select a state to see its payment localities.
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $174.56 | 1 |
| AL | $128.08 | 1 |
| AR | $126.87 | 1 |
| AZ | $135.16 | 1 |
| CA | $144.21–$174.03 | 29 |
| CO | $142.27 | 1 |
| CT | $144.69 | 1 |
| DC | $153.63 | 1 |
| DE | $136.89 | 1 |
| FL | $135.79–$143.98 | 3 |
| GA | $130.70–$139.37 | 2 |
| GU | $145.96 | 1 |
| HI | $145.96 | 1 |
| IA | $130.41 | 1 |
| ID | $130.93 | 1 |
| IL | $133.00–$141.73 | 4 |
| IN | $131.44 | 1 |
| KS | $129.91 | 1 |
| KY | $129.85 | 1 |
| LA | $129.68–$133.91 | 2 |
| MA | $141.82–$153.33 | 2 |
| MD | $138.91–$153.63 | 3 |
| ME | $131.28–$136.14 | 2 |
| MI | $131.99–$136.83 | 2 |
| MN | $137.94 | 1 |
| MO | $128.15–$134.35 | 3 |
| MS | $127.53 | 1 |
| MT | $137.61 | 1 |
| NC | $132.20 | 1 |
| ND | $136.22 | 1 |
| NE | $130.91 | 1 |
| NH | $140.11 | 1 |
| NJ | $146.79–$152.90 | 2 |
| NM | $132.43 | 1 |
| NV | $137.29 | 1 |
| NY | $133.51–$156.79 | 5 |
| OH | $131.70 | 1 |
| OK | $129.80 | 1 |
| OR | $136.64–$145.65 | 2 |
| PA | $131.90–$142.07 | 2 |
| PR | $138.33 | 1 |
| RI | $140.88 | 1 |
| SC | $132.08 | 1 |
| SD | $136.06 | 1 |
| TN | $130.33 | 1 |
| TX | $131.31–$141.43 | 8 |
| UT | $133.28 | 1 |
| VA | $135.77–$153.63 | 2 |
| VI | $138.33 | 1 |
| VT | $135.78 | 1 |
| WA | $141.54–$156.01 | 2 |
| WI | $133.13 | 1 |
| WV | $129.69 | 1 |
| WY | $137.00 | 1 |
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
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 Virginia 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
106
- Locality
- Virginia
- Physician work
- 1.000
- Practice expense
- 0.983
- Malpractice
- 0.706
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.01 | × 1.000 | 2.0100 |
| Practice expense | 2.04 | × 0.983 | 2.0053 |
| Malpractice | 0.07 | × 0.706 | 0.0494 |
| Total RVUs | 4.0647 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Virginia$135.77
Office: (2.01 × 1 + 2.04 × 0.983 + 0.07 × 0.706) × $33.4009 = $135.77
Facility: (2.01 × 1 + 0.52 × 0.983 + 0.07 × 0.706) × $33.4009 = $85.86
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.
How 95180 has changed in Virginia
95180 · Office / nonfacility
$135.77
Effective 2026-10-01
The base rate is $1.75 higher than on 2025-10-01, moving from $134.02 to $135.77 (1.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$134.02changed to$135.77
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 2.11 changed to 2.04
- Work GPCI 1.002 changed to 1.000
- Practice expense GPCI 0.984 changed to 0.983
- Malpractice GPCI 0.755 changed to 0.706
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$136.53changed to$134.02
- 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.
March 9, 2024
RVU24AR
$134.30changed to$136.53
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$136.78changed to$134.30
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.98 changed to 2.06
- Work GPCI 1.000 changed to 1.002
- Practice expense GPCI 0.990 changed to 0.984
- Malpractice GPCI 0.826 changed to 0.755
January 1, 2023
RVU23A
$137.43changed to$136.78
- 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
- Practice expense GPCI 0.995 changed to 0.990
- Malpractice GPCI 0.897 changed to 0.826
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$137.18changed to$137.43
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.85 changed to 1.89
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$138.78changed to$137.18
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.77 changed to 1.85
- Practice expense GPCI 0.991 changed to 0.995
- Malpractice GPCI 0.903 changed to 0.897
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$140.08changed to$138.78
- 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
- Practice expense GPCI 0.986 changed to 0.991
- Malpractice GPCI 0.908 changed to 0.903
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$137.80changed to$140.08
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.77 changed to 1.83
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$134.01changed to$137.80
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.68 changed to 1.77
- Practice expense GPCI 0.985 changed to 0.986
- Malpractice GPCI 0.866 changed to 0.908
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$133.81changed to$134.01
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.69 changed to 1.68
- Practice expense GPCI 0.983 changed to 0.985
- Malpractice GPCI 0.824 changed to 0.866
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$133.99changed to$133.81
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.07 changed to 0.08
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$133.33changed to$133.99
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$133.64changed to$133.33
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.70 changed to 1.69
- Practice expense GPCI 0.980 changed to 0.983
- Malpractice GPCI 0.778 changed to 0.824
Held through RVU15B.
January 1, 2014
RVU14A
$130.96changed to$133.64
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.83 changed to 1.70
- Practice expense GPCI 0.977 changed to 0.980
- Malpractice GPCI 0.731 changed to 0.778
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $130.96
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $135.77 | $85.86 | RVU26D |
| 2026-07-01 | $135.77 | $85.86 | RVU26C |
| 2026-04-01 | $135.77 | $85.86 | RVU26B |
| 2026-01-01 | $135.77 | $85.86 | RVU26A |
| 2025-10-01 | $134.02 | $97.73 | RVU25D |
| 2025-07-01 | $134.02 | $97.73 | RVU25C |
| 2025-04-01 | $134.02 | $97.73 | RVU25B |
| 2025-01-01 | $134.02 | $97.73 | RVU25A |
| 2024-10-01 | $136.53 | $99.84 | RVU24D |
| 2024-07-01 | $136.53 | $99.84 | RVU24C |
| 2024-04-01 | $136.53 | $99.84 | RVU24B |
| 2024-03-09 | $136.53 | $99.84 | RVU24AR |
| 2024-01-01 | $134.30 | $98.21 | RVU24A |
| 2023-10-01 | $136.78 | $101.22 | RVU23D |
| 2023-07-01 | $136.78 | $101.22 | RVU23C |
| 2023-04-01 | $136.78 | $101.22 | RVU23B |
| 2023-01-01 | $136.78 | $101.22 | RVU23A |
| 2022-10-01 | $137.43 | $103.00 | RVU22D |
| 2022-07-01 | $137.43 | $103.00 | RVU22C |
| 2022-04-01 | $137.43 | $103.00 | RVU22B |
| 2022-01-01 | $137.43 | $103.00 | RVU22A |
| 2021-10-01 | $137.18 | $103.16 | RVU21D |
| 2021-07-01 | $137.18 | $103.16 | RVU21C |
| 2021-04-01 | $137.18 | $103.16 | RVU21B |
| 2021-01-01 | $137.18 | $103.16 | RVU21A |
| 2020-10-01 | $138.78 | $105.87 | RVU20D |
| 2020-07-01 | $138.78 | $105.87 | RVU20C |
| 2020-04-01 | $138.78 | $105.87 | RVU20B |
| 2020-01-01 | $138.78 | $105.87 | RVU20A |
| 2019-10-01 | $140.08 | $105.97 | RVU19D |
| 2019-07-01 | $140.08 | $105.97 | RVU19C |
| 2019-04-01 | $140.08 | $105.97 | RVU19B |
| 2019-01-01 | $140.08 | $105.97 | RVU19A |
| 2018-10-01 | $137.80 | $104.08 | RVU18D |
| 2018-07-01 | $137.80 | $104.08 | RVU18C |
| 2018-04-01 | $137.80 | $104.08 | RVU18B |
| 2018-01-01 | $137.80 | $104.08 | RVU18AR1 |
| 2017-10-01 | $134.01 | $102.20 | RVU17D |
| 2017-07-01 | $134.01 | $102.20 | RVU17C |
| 2017-04-01 | $134.01 | $102.20 | RVU17B |
| 2017-01-01 | $134.01 | $102.20 | RVU17A |
| 2016-10-01 | $133.81 | $101.78 | RVU16D |
| 2016-07-01 | $133.81 | $101.78 | RVU16C |
| 2016-04-01 | $133.81 | $101.78 | RVU16B |
| 2016-01-01 | $133.81 | $101.78 | RVU16A |
| 2015-10-01 | $133.99 | $101.85 | RVU15D |
| 2015-07-01 | $133.99 | $101.85 | RVU15C |
| 2015-04-01 | $133.33 | $101.34 | RVU15B |
| 2015-01-01 | $133.33 | $101.34 | RVU15A |
| 2014-10-01 | $133.64 | $101.69 | RVU14D |
| 2014-07-01 | $133.64 | $101.69 | RVU14C |
| 2014-04-01 | $133.64 | $101.69 | RVU14B |
| 2014-01-01 | $133.64 | $101.69 | RVU14A |
| 2013-10-01 | $130.96 | $98.05 | RVU13D |
| 2013-07-01 | $130.96 | $98.05 | RVU13C |
| 2013-04-01 | $130.96 | $98.05 | RVU13B |
| 2013-01-01 | $130.96 | $98.05 | RVU13AR |
Where the Virginia rate applies
Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.
- Abbs Valley
- Abingdon
- Accomac
- Adwolf
- Afton
- Alberta
- Aldie
- Allison Gap
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
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