Billing code 95027: Intradermal testingMedicare rate & RVUs

Medicare pays $4.68 for 95027 nationally in the office. Local office rates run $3.95–$6.33.

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

What 95027 covers

This service uses intradermal injections of airborne allergen extracts in a sequential, incremental series to assess immediate-type sensitivity. Allergy specialists commonly perform it in an office allergy clinic, sometimes after percutaneous testing has not resolved the clinical question. The series may evaluate suspected sensitivity to aeroallergens such as pollens, dust mites, or animal dander.

Select 95027 for the sequential and incremental intradermal protocol for airborne allergens, rather than routine intradermal testing or percutaneous testing. The record should identify the allergens tested, the testing sequence, the number of tests performed, and the observed reactions. Report the documented test count, not simply one unit for the visit. CMS assigns work, practice-expense, and malpractice relative values to the service; the supplied CMS facts list no additional payment rules for this code.

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 95027 pays more and less

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

109 of 109 payment localities

95027 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 95027 rate is calculated

Each of 95027’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 95027

95027 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.

95027 compared with similar codes

How to choose

95004Allergy skin prick test

95004 is for percutaneous allergen tests, such as prick or puncture tests. Choose 95027 when the performed method is sequential, incremental intradermal testing for airborne allergens.

95024Intradermal allergy test

Both involve immediate-reaction intradermal allergen testing, but 95027 identifies the sequential, incremental airborne-allergen protocol.

95028Allergy skin testing

95028 is for intradermal testing of delayed reactions. 95027 concerns immediate-type reactions using sequential, incremental testing for airborne allergens.

95017Venom testing

95017 is the testing pathway for venom allergens. 95027 is for sequential, incremental intradermal testing of airborne allergens.

Codes related to 95027

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