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CMS RVU26D · Effective 2026-10-01

95076 in Chico

Office / nonfacility

$130.00

Base rate per service

Facility setting

$63.38

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Allergy testing

About 95076: Oral ingestion challenge, initial testing

Reports supervised oral challenge testing, such as a food or medication challenge, for the initial testing interval used to assess a suspected reaction.

An ingestion challenge involves giving a patient measured, sequential amounts of a suspected food or medication by mouth while observing for an allergic response. Allergists and other clinicians experienced in allergy evaluation commonly perform these challenges in an office or facility equipped to monitor the patient and respond to reactions. Examples include assessing whether a patient can tolerate a food or an oral medication after a history of possible allergy.

Report 95076 for the initial testing interval; when testing continues beyond that interval, 95079 is the add-on code for additional testing time. Documentation should identify the ingested substance, the incremental doses or challenge steps, the testing time, observations, and any symptoms or intervention. CMS physician fee schedule values for this service include physician work, practice expense, and malpractice components, with practice expense values differing between office and facility settings.

Where the value comes from

  • Work RVU1.50 · 41%
  • Practice expense (office) RVU2.13 · 58%
  • Malpractice RVU0.06 · 2%

12.9K

Medicare services in 2024 · #1342 by national volume

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.

95076 compared with similar codes

Office rates for Chico, from the same CMS release.

95079

Ingestion challenge

Each additional 60 minutes

$88.41

95076 reports the initial ingestion challenge interval. Use 95079 for each additional 60 minutes of testing when the challenge continues.

95070

Bronchial challenge

Technical testing

$43.00

95070 is for bronchial challenge by inhalation. Choose 95076 when the test substance is administered orally.

95018

Drug allergy testing

Percutaneous and intracutaneous tests

$20.31

95018 reports percutaneous and intradermal drug or biological testing; 95076 reports a monitored challenge by ingestion.

95004

Allergy skin prick test

Percutaneous, immediate reaction, per test

$3.81

95004 is percutaneous allergen testing, not an oral challenge assessing whether a patient tolerates an ingested substance.

The same code, a different location

How does Chico compare?

In Bakersfield, the office rate for 95076 is $130.25—$0.25 higher than the $130.00 rate in Chico. Both use the same code, release and participation basis.

95076 across payment areas

Same release and payment basis · bars start at $0

  1. Chico · This locality

    $130.00

  2. Bakersfield

    $130.25

    $0.25 higher than Chico

  3. El Centro

    $130.01

    $0.01 higher than Chico

  4. Fresno

    $130.00

    The same base rate than Chico

  5. Hanford-Corcoran

    $130.00

    The same base rate than Chico

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $137.65

    $7.65 higher than Chico

  7. Madera

    $130.00

    The same base rate than Chico

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 95076 ranges from $112.25 in Arkansas to $159.28 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Merced

    California · 95076

    Office

    $130.00

    Facility

    $63.38

    The same base rate than Chico for the office setting.

  • Modesto

    California · 95076

    Office

    $130.00

    Facility

    $63.38

    The same base rate than Chico for the office setting.

  • Napa

    California · 95076

    Office

    $148.04

    Facility

    $67.92

    $18.04 higher than Chico for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 95076

    Office

    $136.84

    Facility

    $64.99

    $6.84 higher than Chico for the office setting.

  • Redding

    California · 95076

    Office

    $130.00

    Facility

    $63.38

    The same base rate than Chico for the office setting.

  • Rest Of California

    California · 95076

    Office

    $130.00

    Facility

    $63.38

    The same base rate than Chico for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 95076

    Office

    $130.69

    Facility

    $64.06

    $0.69 higher than Chico for the office setting.

  • Sacramento-Roseville-Folsom

    California · 95076

    Office

    $135.72

    Facility

    $65.02

    $5.72 higher than Chico for the office setting.

  • Salinas

    California · 95076

    Office

    $135.18

    Facility

    $64.73

    $5.18 higher than Chico for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 95076

    Office

    $137.78

    Facility

    $65.07

    $7.78 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 95076

    Office

    $156.09

    Facility

    $70.38

    $26.09 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 95076

    Office

    $156.03

    Facility

    $70.31

    $26.03 higher than Chico for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 95076

    Office

    $159.28

    Facility

    $71.62

    $29.28 higher than Chico for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 95076

    Office

    $159.00

    Facility

    $71.34

    $29.00 higher than Chico for the office setting.

  • San Luis Obispo-Paso Robles

    California · 95076

    Office

    $133.06

    Facility

    $63.82

    $3.06 higher than Chico for the office setting.

  • Santa Cruz-Watsonville

    California · 95076

    Office

    $138.67

    Facility

    $64.81

    $8.67 higher than Chico for the office setting.

  • Santa Maria-Santa Barbara

    California · 95076

    Office

    $135.53

    Facility

    $64.65

    $5.53 higher than Chico for the office setting.

  • Santa Rosa-Petaluma

    California · 95076

    Office

    $140.04

    Facility

    $65.39

    $10.04 higher than Chico for the office setting.

  • Stockton

    California · 95076

    Office

    $130.00

    Facility

    $63.38

    The same base rate than Chico for the office setting.

  • Vallejo

    California · 95076

    Office

    $147.95

    Facility

    $67.82

    $17.95 higher than Chico for the office setting.

  • Visalia

    California · 95076

    Office

    $130.00

    Facility

    $63.38

    The same base rate than Chico for the office setting.

  • Yuba City

    California · 95076

    Office

    $130.00

    Facility

    $63.38

    The same base rate than Chico for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 95076

    Office

    $138.84

    Facility

    $67.23

    $8.84 higher than Chico for the office setting.

  • Miami

    Florida · 95076

    Office

    $129.23

    Facility

    $65.95

    $0.77 lower than Chico for the office setting.

  • Chicago

    Illinois · 95076

    Office

    $126.55

    Facility

    $65.46

    $3.45 lower than Chico for the office setting.

  • Manhattan

    New York · 95076

    Office

    $139.16

    Facility

    $68.52

    $9.16 higher than Chico for the office setting.

  • Alaska*

    Alaska · 95076

    Office

    $152.02

    Facility

    $87.28

    $22.02 higher than Chico for the office setting.

  • Alabama

    Alabama · 95076

    Office

    $113.49

    Facility

    $60.30

    $16.51 lower than Chico for the office setting.

  • Arkansas

    Arkansas · 95076

    Office

    $112.25

    Facility

    $60.03

    $17.75 lower than Chico for the office setting.

  • Arizona

    Arizona · 95076

    Office

    $120.76

    Facility

    $61.85

    $9.24 lower than Chico for the office setting.

  • Colorado

    Colorado · 95076

    Office

    $127.96

    Facility

    $63.28

    $2.04 lower than Chico for the office setting.

  • Connecticut

    Connecticut · 95076

    Office

    $130.15

    Facility

    $64.68

    $0.15 higher than Chico for the office setting.

  • Delaware

    Delaware · 95076

    Office

    $122.44

    Facility

    $62.38

    $7.56 lower than Chico for the office setting.

  • Fort Lauderdale

    Florida · 95076

    Office

    $125.79

    Facility

    $64.21

    $4.21 lower than Chico for the office setting.

  • Rest Of Florida

    Florida · 95076

    Office

    $121.13

    Facility

    $63.01

    $8.87 lower than Chico for the office setting.

  • Atlanta

    Georgia · 95076

    Office

    $124.94

    Facility

    $63.18

    $5.06 lower than Chico for the office setting.

  • Rest Of Georgia

    Georgia · 95076

    Office

    $115.95

    Facility

    $61.73

    $14.05 lower than Chico for the office setting.

  • Hawaii, Guam

    Hawaii · 95076

    Office

    $132.15

    Facility

    $63.03

    $2.15 higher than Chico for the office setting.

  • Iowa

    Iowa · 95076

    Office

    $115.99

    Facility

    $60.37

    $14.01 lower than Chico for the office setting.

  • Idaho

    Idaho · 95076

    Office

    $116.50

    Facility

    $60.58

    $13.50 lower than Chico for the office setting.

  • East St. Louis

    Illinois · 95076

    Office

    $119.59

    Facility

    $63.66

    $10.41 lower than Chico for the office setting.

  • Rest Of Illinois

    Illinois · 95076

    Office

    $118.19

    Facility

    $62.69

    $11.81 lower than Chico for the office setting.

  • Suburban Chicago

    Illinois · 95076

    Office

    $127.07

    Facility

    $64.64

    $2.93 lower than Chico for the office setting.

  • Indiana

    Indiana · 95076

    Office

    $117.03

    Facility

    $60.67

    $12.97 lower than Chico for the office setting.

  • Kansas

    Kansas · 95076

    Office

    $115.43

    Facility

    $60.47

    $14.57 lower than Chico for the office setting.

  • Kentucky

    Kentucky · 95076

    Office

    $115.18

    Facility

    $61.14

    $14.82 lower than Chico for the office setting.

  • New Orleans

    Louisiana · 95076

    Office

    $119.32

    Facility

    $62.12

    $10.68 lower than Chico for the office setting.

  • Rest Of Louisiana

    Louisiana · 95076

    Office

    $114.98

    Facility

    $61.18

    $15.02 lower than Chico for the office setting.

  • Metropolitan Boston

    Massachusetts · 95076

    Office

    $138.88

    Facility

    $66.30

    $8.88 higher than Chico for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 95076

    Office

    $127.41

    Facility

    $63.40

    $2.59 lower than Chico for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 95076

    Office

    $129.72

    Facility

    $64.49

    $0.28 lower than Chico for the office setting.

  • Rest Of Maryland

    Maryland · 95076

    Office

    $124.44

    Facility

    $62.92

    $5.56 lower than Chico for the office setting.

  • Rest Of Maine

    Maine · 95076

    Office

    $116.80

    Facility

    $60.87

    $13.20 lower than Chico for the office setting.

  • Southern Maine

    Maine · 95076

    Office

    $121.87

    Facility

    $61.63

    $8.13 lower than Chico for the office setting.

  • Detroit

    Michigan · 95076

    Office

    $122.13

    Facility

    $63.47

    $7.87 lower than Chico for the office setting.

  • Rest Of Michigan

    Michigan · 95076

    Office

    $117.32

    Facility

    $61.82

    $12.68 lower than Chico for the office setting.

  • Minnesota

    Minnesota · 95076

    Office

    $123.90

    Facility

    $61.35

    $6.10 lower than Chico for the office setting.

  • Metropolitan Kansas City

    Missouri · 95076

    Office

    $118.86

    Facility

    $61.78

    $11.14 lower than Chico for the office setting.

  • Metropolitan St. Louis

    Missouri · 95076

    Office

    $119.84

    Facility

    $61.97

    $10.16 lower than Chico for the office setting.

  • Rest Of Missouri

    Missouri · 95076

    Office

    $113.38

    Facility

    $60.98

    $16.62 lower than Chico for the office setting.

  • Mississippi

    Mississippi · 95076

    Office

    $112.84

    Facility

    $60.50

    $17.16 lower than Chico for the office setting.

  • Montana**

    Montana · 95076

    Office

    $123.25

    Facility

    $62.46

    $6.75 lower than Chico for the office setting.

  • North Carolina

    North Carolina · 95076

    Office

    $117.76

    Facility

    $61.04

    $12.24 lower than Chico for the office setting.

  • North Dakota**

    North Dakota · 95076

    Office

    $122.06

    Facility

    $61.27

    $7.94 lower than Chico for the office setting.

  • Nebraska

    Nebraska · 95076

    Office

    $116.52

    Facility

    $60.42

    $13.48 lower than Chico for the office setting.

  • New Hampshire

    New Hampshire · 95076

    Office

    $125.92

    Facility

    $62.63

    $4.08 lower than Chico for the office setting.

  • Northern Nj

    New Jersey · 95076

    Office

    $137.93

    Facility

    $67.41

    $7.93 higher than Chico for the office setting.

  • Rest Of New Jersey

    New Jersey · 95076

    Office

    $131.99

    Facility

    $65.61

    $1.99 higher than Chico for the office setting.

  • New Mexico

    New Mexico · 95076

    Office

    $117.75

    Facility

    $62.00

    $12.25 lower than Chico for the office setting.

  • Nevada**

    Nevada · 95076

    Office

    $122.99

    Facility

    $62.14

    $7.01 lower than Chico for the office setting.

  • Nyc Suburbs/Long Island

    New York · 95076

    Office

    $141.62

    Facility

    $69.34

    $11.62 higher than Chico for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 95076

    Office

    $132.68

    Facility

    $66.12

    $2.68 higher than Chico for the office setting.

  • Queens

    New York · 95076

    Office

    $140.29

    Facility

    $68.44

    $10.29 higher than Chico for the office setting.

  • Rest Of New York

    New York · 95076

    Office

    $119.10

    Facility

    $61.35

    $10.90 lower than Chico for the office setting.

  • Ohio

    Ohio · 95076

    Office

    $117.08

    Facility

    $61.57

    $12.92 lower than Chico for the office setting.

  • Oklahoma

    Oklahoma · 95076

    Office

    $115.19

    Facility

    $60.90

    $14.81 lower than Chico for the office setting.

  • Portland

    Oregon · 95076

    Office

    $131.43

    Facility

    $63.90

    $1.43 higher than Chico for the office setting.

  • Rest Of Oregon

    Oregon · 95076

    Office

    $122.37

    Facility

    $61.82

    $7.63 lower than Chico for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 95076

    Office

    $127.45

    Facility

    $64.17

    $2.55 lower than Chico for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 95076

    Office

    $117.31

    Facility

    $61.50

    $12.69 lower than Chico for the office setting.

  • Puerto Rico

    Puerto Rico · 95076

    Office

    $124.00

    Facility

    $62.54

    $6.00 lower than Chico for the office setting.

  • Rhode Island

    Rhode Island · 95076

    Office

    $126.33

    Facility

    $63.54

    $3.67 lower than Chico for the office setting.

  • South Carolina

    South Carolina · 95076

    Office

    $117.54

    Facility

    $61.37

    $12.46 lower than Chico for the office setting.

  • South Dakota**

    South Dakota · 95076

    Office

    $121.92

    Facility

    $61.13

    $8.08 lower than Chico for the office setting.

  • Tennessee

    Tennessee · 95076

    Office

    $115.85

    Facility

    $60.59

    $14.15 lower than Chico for the office setting.

  • Austin

    Texas · 95076

    Office

    $127.25

    Facility

    $62.93

    $2.75 lower than Chico for the office setting.

  • Beaumont

    Texas · 95076

    Office

    $116.70

    Facility

    $61.39

    $13.30 lower than Chico for the office setting.

  • Brazoria

    Texas · 95076

    Office

    $122.57

    Facility

    $62.33

    $7.43 lower than Chico for the office setting.

  • Dallas

    Texas · 95076

    Office

    $123.13

    Facility

    $62.58

    $6.87 lower than Chico for the office setting.

  • Fort Worth

    Texas · 95076

    Office

    $122.45

    Facility

    $62.51

    $7.55 lower than Chico for the office setting.

  • Galveston

    Texas · 95076

    Office

    $122.81

    Facility

    $62.44

    $7.19 lower than Chico for the office setting.

  • Houston

    Texas · 95076

    Office

    $123.91

    Facility

    $63.54

    $6.09 lower than Chico for the office setting.

  • Rest Of Texas

    Texas · 95076

    Office

    $119.43

    Facility

    $61.74

    $10.57 lower than Chico for the office setting.

  • Utah

    Utah · 95076

    Office

    $118.78

    Facility

    $61.63

    $11.22 lower than Chico for the office setting.

  • Virginia

    Virginia · 95076

    Office

    $121.45

    Facility

    $61.69

    $8.55 lower than Chico for the office setting.

  • Virgin Islands

    United States Virgin Islands · 95076

    Office

    $124.00

    Facility

    $62.54

    $6.00 lower than Chico for the office setting.

  • Vermont

    Vermont · 95076

    Office

    $121.55

    Facility

    $61.37

    $8.45 lower than Chico for the office setting.

  • Rest Of Washington

    Washington · 95076

    Office

    $127.19

    Facility

    $63.18

    $2.81 lower than Chico for the office setting.

  • Seattle (King Cnty)

    Washington · 95076

    Office

    $141.54

    Facility

    $66.95

    $11.54 higher than Chico for the office setting.

  • Wisconsin

    Wisconsin · 95076

    Office

    $118.87

    Facility

    $60.64

    $11.13 lower than Chico for the office setting.

  • West Virginia

    West Virginia · 95076

    Office

    $114.79

    Facility

    $61.97

    $15.21 lower than Chico for the office setting.

  • Wyoming**

    Wyoming · 95076

    Office

    $122.73

    Facility

    $61.94

    $7.27 lower than Chico for the office setting.

See how rates vary across the country

95076 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$112.25

$152.02

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$152.021
AL$113.491
AR$112.251
AZ$120.761
CA$130.00–$159.2829
CO$127.961
CT$130.151
DC$138.841
DE$122.441
FL$121.13–$129.233
GA$115.95–$124.942
GU$132.151
HI$132.151
IA$115.991
ID$116.501
IL$118.19–$127.074
IN$117.031
KS$115.431
KY$115.181
LA$114.98–$119.322
MA$127.41–$138.882
MD$124.44–$138.843
ME$116.80–$121.872
MI$117.32–$122.132
MN$123.901
MO$113.38–$119.843
MS$112.841
MT$123.251
NC$117.761
ND$122.061
NE$116.521
NH$125.921
NJ$131.99–$137.932
NM$117.751
NV$122.991
NY$119.10–$141.625
OH$117.081
OK$115.191
OR$122.37–$131.432
PA$117.31–$127.452
PR$124.001
RI$126.331
SC$117.541
SD$121.921
TN$115.851
TX$116.70–$127.258
UT$118.781
VA$121.45–$138.842
VI$124.001
VT$121.551
WA$127.19–$141.542
WI$118.871
WV$114.791
WY$122.731

Explore 95076 on the national rate map →

Where does this rate apply?

Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Why are the office and facility amounts different?

For 95076 in Chico, the physician’s office rate is $130.00 and the facility-setting rate is $63.38: a difference of $66.62.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 95076 in Chico. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$143.00

$130.00 × 110% = $143.00

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 95076 in Chico.

PPRRVU2026_Oct_nonQPP.csv

12,470

Code
95076
Physician work
1.50
Practice expense
2.13
Malpractice
0.06

GPCI2026.csv

9

Locality
Chico
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 95076 in Chico
ComponentRVULocality factorAdjusted
Physician work1.50× 1.0171.5255
Practice expense2.13× 1.0962.3345
Malpractice0.06× 0.5360.0322
Total RVUs3.8921
Conversion factor× 33.4009

Office / nonfacility rate, Chico$130.00

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 95076 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.51.017
Practice expense2.131.096
Malpractice0.060.536

(1.5 × 1.017 + 2.13 × 1.096 + 0.06 × 0.536) × $33.4009 = $130.00

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.51.017
Practice expense0.311.096
Malpractice0.060.536

(1.5 × 1.017 + 0.31 × 1.096 + 0.06 × 0.536) × $33.4009 = $63.38

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

95076 · Office / nonfacility

$130.00

Effective 2026-10-01

The base rate is $2.47 higher than on 2025-10-01, moving from $127.53 to $130.00 (1.9%).

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

    $127.53changed to$130.00

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 2.19 changed to 2.13
    • Malpractice RVU 0.05 changed to 0.06
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $127.53

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$130.00$63.38RVU26D
2026-07-01$130.00$63.38RVU26C
2026-04-01$130.00$63.38RVU26B
2026-01-01$130.00$63.38RVU26A
2025-10-01$127.53$72.73RVU25D
2025-07-01$127.53$72.73RVU25C
2025-04-01$127.53$72.73RVU25B
2025-01-01$127.53$72.73RVU25A

95076 billing questions

When is 95076 appropriate instead of allergy skin testing?

Use 95076 when the clinician evaluates tolerance by administering the suspected food or medication orally in a monitored challenge. Skin testing, such as 95004 or 95018, records a different testing method.

Can 95079 be reported with 95076?

Yes. 95076 represents the initial testing interval, and 95079 is the add-on code for each additional 60 minutes of ingestion challenge testing.

What should the record support?

Document the substance administered, incremental challenge steps, elapsed testing time, monitoring findings, and any reaction or treatment. The record should show that an oral challenge was performed, rather than only a discussion or history review.

Is a food challenge the only service reported with 95076?

No. The code can describe an oral challenge involving a medication as well as a food. The documentation should make clear what substance was ingested and how the challenge was conducted.

Does 95076 cover an inhaled allergen challenge?

No. 95076 is for an ingested challenge; 95070 describes bronchial inhalation challenge testing.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 95076PPRRVU2026_Oct_nonQPP.csv, line 12,470 (RVU26D)
Geographic factors for ChicoGPCI2026.csv, line 9 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet