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CMS RVU26D · Effective 2026-10-01

95052 in Vallejo

Office / nonfacility

$7.64

Base rate per service

Facility setting

Not available in this setting

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 95052: Photopatch allergy testing

Photopatch testing evaluates suspected light-dependent contact allergy by comparing skin reactions to applied substances with and without light exposure.

Photopatch testing evaluates suspected photoallergic contact dermatitis, such as a reaction linked to a topical medication, sunscreen, or fragrance after sun exposure. The clinician applies suspected substances to the skin under patches, then exposes one test area to light while keeping a comparison area shielded. Subsequent skin responses are interpreted to determine whether the reaction depends on light. Dermatologists and allergists commonly perform this testing in an office setting.

Report 95052 for the photopatch procedure, which includes application and interpretation. Documentation should identify the clinical concern, substances tested, test locations, exposure and comparison conditions, and observed reactions. CMS assigns 0 work RVUs, 0.17 practice-expense RVUs, and 0.01 malpractice RVUs. This is an incident-to service and is billed only when performed under physician supervision.

CMS billing rules for 95052

Professional and technical components
Incident-to service: billed only when performed under physician supervision.

Where the value comes from

  • Work RVU0.00 · 0%
  • Practice expense (office) RVU0.17 · 94%
  • Malpractice RVU0.01 · 6%

528

Medicare services in 2024 · #3509 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.

95052 compared with similar codes

Office rates for Vallejo, from the same CMS release.

95044

Patch testing

Each separate patch test

$6.32

Choose 95044 for conventional patch or application testing. Choose 95052 when the evaluation compares reactions to applied substances with and without light exposure.

95056

Phototesting

Skin response to light

$67.66

95056 evaluates skin response to light itself. 95052 evaluates whether light changes the skin's reaction to an applied substance.

The same code, a different location

How does Vallejo compare?

In Bakersfield, the office rate for 95052 is $6.43—$1.21 lower than the $7.64 rate in Vallejo. Both use the same code, release and participation basis.

95052 across payment areas

Same release and payment basis · bars start at $0

  1. Vallejo · This locality

    $7.64

  2. Bakersfield

    $6.43

    $1.21 lower than Vallejo

  3. Chico

    $6.40

    $1.24 lower than Vallejo

  4. El Centro

    $6.40

    $1.24 lower than Vallejo

  5. Fresno

    $6.40

    $1.24 lower than Vallejo

  6. Hanford-Corcoran

    $6.40

    $1.24 lower than Vallejo

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

    $6.94

    $0.70 lower than Vallejo

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, 95052 ranges from $5.05 in Arkansas to $8.37 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

  • Madera

    California · 95052

    Office

    $6.40

    Facility

    Unavailable

    $1.24 lower than Vallejo for the office setting.

  • Merced

    California · 95052

    Office

    $6.40

    Facility

    Unavailable

    $1.24 lower than Vallejo for the office setting.

  • Modesto

    California · 95052

    Office

    $6.40

    Facility

    Unavailable

    $1.24 lower than Vallejo for the office setting.

  • Napa

    California · 95052

    Office

    $7.65

    Facility

    Unavailable

    $0.01 higher than Vallejo for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 95052

    Office

    $6.92

    Facility

    Unavailable

    $0.72 lower than Vallejo for the office setting.

  • Redding

    California · 95052

    Office

    $6.40

    Facility

    Unavailable

    $1.24 lower than Vallejo for the office setting.

  • Rest Of California

    California · 95052

    Office

    $6.40

    Facility

    Unavailable

    $1.24 lower than Vallejo for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 95052

    Office

    $6.51

    Facility

    Unavailable

    $1.13 lower than Vallejo for the office setting.

  • Sacramento-Roseville-Folsom

    California · 95052

    Office

    $6.78

    Facility

    Unavailable

    $0.86 lower than Vallejo for the office setting.

  • Salinas

    California · 95052

    Office

    $6.76

    Facility

    Unavailable

    $0.88 lower than Vallejo for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 95052

    Office

    $6.97

    Facility

    Unavailable

    $0.67 lower than Vallejo for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 95052

    Office

    $8.16

    Facility

    Unavailable

    $0.52 higher than Vallejo for the office setting.

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

    California · 95052

    Office

    $8.15

    Facility

    Unavailable

    $0.51 higher than Vallejo for the office setting.

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

    California · 95052

    Office

    $8.37

    Facility

    Unavailable

    $0.73 higher than Vallejo for the office setting.

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

    California · 95052

    Office

    $8.32

    Facility

    Unavailable

    $0.68 higher than Vallejo for the office setting.

  • San Luis Obispo-Paso Robles

    California · 95052

    Office

    $6.65

    Facility

    Unavailable

    $0.99 lower than Vallejo for the office setting.

  • Santa Cruz-Watsonville

    California · 95052

    Office

    $7.08

    Facility

    Unavailable

    $0.56 lower than Vallejo for the office setting.

  • Santa Maria-Santa Barbara

    California · 95052

    Office

    $6.80

    Facility

    Unavailable

    $0.84 lower than Vallejo for the office setting.

  • Santa Rosa-Petaluma

    California · 95052

    Office

    $7.15

    Facility

    Unavailable

    $0.49 lower than Vallejo for the office setting.

  • Stockton

    California · 95052

    Office

    $6.40

    Facility

    Unavailable

    $1.24 lower than Vallejo for the office setting.

  • Visalia

    California · 95052

    Office

    $6.40

    Facility

    Unavailable

    $1.24 lower than Vallejo for the office setting.

  • Yuba City

    California · 95052

    Office

    $6.40

    Facility

    Unavailable

    $1.24 lower than Vallejo for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 95052

    Office

    $7.06

    Facility

    Unavailable

    $0.58 lower than Vallejo for the office setting.

  • Miami

    Florida · 95052

    Office

    $6.76

    Facility

    Unavailable

    $0.88 lower than Vallejo for the office setting.

  • Chicago

    Illinois · 95052

    Office

    $6.47

    Facility

    Unavailable

    $1.17 lower than Vallejo for the office setting.

  • Manhattan

    New York · 95052

    Office

    $7.13

    Facility

    Unavailable

    $0.51 lower than Vallejo for the office setting.

  • Alaska*

    Alaska · 95052

    Office

    $6.23

    Facility

    Unavailable

    $1.41 lower than Vallejo for the office setting.

  • Alabama

    Alabama · 95052

    Office

    $5.16

    Facility

    Unavailable

    $2.48 lower than Vallejo for the office setting.

  • Arkansas

    Arkansas · 95052

    Office

    $5.05

    Facility

    Unavailable

    $2.59 lower than Vallejo for the office setting.

  • Arizona

    Arizona · 95052

    Office

    $5.79

    Facility

    Unavailable

    $1.85 lower than Vallejo for the office setting.

  • Colorado

    Colorado · 95052

    Office

    $6.30

    Facility

    Unavailable

    $1.34 lower than Vallejo for the office setting.

  • Connecticut

    Connecticut · 95052

    Office

    $6.52

    Facility

    Unavailable

    $1.12 lower than Vallejo for the office setting.

  • Delaware

    Delaware · 95052

    Office

    $5.91

    Facility

    Unavailable

    $1.73 lower than Vallejo for the office setting.

  • Fort Lauderdale

    Florida · 95052

    Office

    $6.36

    Facility

    Unavailable

    $1.28 lower than Vallejo for the office setting.

  • Rest Of Florida

    Florida · 95052

    Office

    $5.93

    Facility

    Unavailable

    $1.71 lower than Vallejo for the office setting.

  • Atlanta

    Georgia · 95052

    Office

    $6.17

    Facility

    Unavailable

    $1.47 lower than Vallejo for the office setting.

  • Rest Of Georgia

    Georgia · 95052

    Office

    $5.46

    Facility

    Unavailable

    $2.18 lower than Vallejo for the office setting.

  • Hawaii, Guam

    Hawaii · 95052

    Office

    $6.65

    Facility

    Unavailable

    $0.99 lower than Vallejo for the office setting.

  • Iowa

    Iowa · 95052

    Office

    $5.33

    Facility

    Unavailable

    $2.31 lower than Vallejo for the office setting.

  • Idaho

    Idaho · 95052

    Office

    $5.38

    Facility

    Unavailable

    $2.26 lower than Vallejo for the office setting.

  • East St. Louis

    Illinois · 95052

    Office

    $5.90

    Facility

    Unavailable

    $1.74 lower than Vallejo for the office setting.

  • Rest Of Illinois

    Illinois · 95052

    Office

    $5.71

    Facility

    Unavailable

    $1.93 lower than Vallejo for the office setting.

  • Suburban Chicago

    Illinois · 95052

    Office

    $6.42

    Facility

    Unavailable

    $1.22 lower than Vallejo for the office setting.

  • Indiana

    Indiana · 95052

    Office

    $5.43

    Facility

    Unavailable

    $2.21 lower than Vallejo for the office setting.

  • Kansas

    Kansas · 95052

    Office

    $5.30

    Facility

    Unavailable

    $2.34 lower than Vallejo for the office setting.

  • Kentucky

    Kentucky · 95052

    Office

    $5.35

    Facility

    Unavailable

    $2.29 lower than Vallejo for the office setting.

  • New Orleans

    Louisiana · 95052

    Office

    $5.72

    Facility

    Unavailable

    $1.92 lower than Vallejo for the office setting.

  • Rest Of Louisiana

    Louisiana · 95052

    Office

    $5.35

    Facility

    Unavailable

    $2.29 lower than Vallejo for the office setting.

  • Metropolitan Boston

    Massachusetts · 95052

    Office

    $7.08

    Facility

    Unavailable

    $0.56 lower than Vallejo for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 95052

    Office

    $6.25

    Facility

    Unavailable

    $1.39 lower than Vallejo for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 95052

    Office

    $6.51

    Facility

    Unavailable

    $1.13 lower than Vallejo for the office setting.

  • Rest Of Maryland

    Maryland · 95052

    Office

    $6.05

    Facility

    Unavailable

    $1.59 lower than Vallejo for the office setting.

  • Rest Of Maine

    Maine · 95052

    Office

    $5.43

    Facility

    Unavailable

    $2.21 lower than Vallejo for the office setting.

  • Southern Maine

    Maine · 95052

    Office

    $5.84

    Facility

    Unavailable

    $1.80 lower than Vallejo for the office setting.

  • Detroit

    Michigan · 95052

    Office

    $6.04

    Facility

    Unavailable

    $1.60 lower than Vallejo for the office setting.

  • Rest Of Michigan

    Michigan · 95052

    Office

    $5.56

    Facility

    Unavailable

    $2.08 lower than Vallejo for the office setting.

  • Minnesota

    Minnesota · 95052

    Office

    $5.94

    Facility

    Unavailable

    $1.70 lower than Vallejo for the office setting.

  • Metropolitan Kansas City

    Missouri · 95052

    Office

    $5.66

    Facility

    Unavailable

    $1.98 lower than Vallejo for the office setting.

  • Metropolitan St. Louis

    Missouri · 95052

    Office

    $5.74

    Facility

    Unavailable

    $1.90 lower than Vallejo for the office setting.

  • Rest Of Missouri

    Missouri · 95052

    Office

    $5.22

    Facility

    Unavailable

    $2.42 lower than Vallejo for the office setting.

  • Mississippi

    Mississippi · 95052

    Office

    $5.14

    Facility

    Unavailable

    $2.50 lower than Vallejo for the office setting.

  • Montana**

    Montana · 95052

    Office

    $6.01

    Facility

    Unavailable

    $1.63 lower than Vallejo for the office setting.

  • North Carolina

    North Carolina · 95052

    Office

    $5.51

    Facility

    Unavailable

    $2.13 lower than Vallejo for the office setting.

  • North Dakota**

    North Dakota · 95052

    Office

    $5.81

    Facility

    Unavailable

    $1.83 lower than Vallejo for the office setting.

  • Nebraska

    Nebraska · 95052

    Office

    $5.37

    Facility

    Unavailable

    $2.27 lower than Vallejo for the office setting.

  • New Hampshire

    New Hampshire · 95052

    Office

    $6.20

    Facility

    Unavailable

    $1.44 lower than Vallejo for the office setting.

  • Northern Nj

    New Jersey · 95052

    Office

    $6.94

    Facility

    Unavailable

    $0.70 lower than Vallejo for the office setting.

  • Rest Of New Jersey

    New Jersey · 95052

    Office

    $6.57

    Facility

    Unavailable

    $1.07 lower than Vallejo for the office setting.

  • New Mexico

    New Mexico · 95052

    Office

    $5.61

    Facility

    Unavailable

    $2.03 lower than Vallejo for the office setting.

  • Nevada**

    Nevada · 95052

    Office

    $5.96

    Facility

    Unavailable

    $1.68 lower than Vallejo for the office setting.

  • Nyc Suburbs/Long Island

    New York · 95052

    Office

    $7.37

    Facility

    Unavailable

    $0.27 lower than Vallejo for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 95052

    Office

    $6.62

    Facility

    Unavailable

    $1.02 lower than Vallejo for the office setting.

  • Queens

    New York · 95052

    Office

    $7.19

    Facility

    Unavailable

    $0.45 lower than Vallejo for the office setting.

  • Rest Of New York

    New York · 95052

    Office

    $5.63

    Facility

    Unavailable

    $2.01 lower than Vallejo for the office setting.

  • Ohio

    Ohio · 95052

    Office

    $5.52

    Facility

    Unavailable

    $2.12 lower than Vallejo for the office setting.

  • Oklahoma

    Oklahoma · 95052

    Office

    $5.33

    Facility

    Unavailable

    $2.31 lower than Vallejo for the office setting.

  • Portland

    Oregon · 95052

    Office

    $6.56

    Facility

    Unavailable

    $1.08 lower than Vallejo for the office setting.

  • Rest Of Oregon

    Oregon · 95052

    Office

    $5.89

    Facility

    Unavailable

    $1.75 lower than Vallejo for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 95052

    Office

    $6.31

    Facility

    Unavailable

    $1.33 lower than Vallejo for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 95052

    Office

    $5.53

    Facility

    Unavailable

    $2.11 lower than Vallejo for the office setting.

  • Puerto Rico

    Puerto Rico · 95052

    Office

    $6.07

    Facility

    Unavailable

    $1.57 lower than Vallejo for the office setting.

  • Rhode Island

    Rhode Island · 95052

    Office

    $6.16

    Facility

    Unavailable

    $1.48 lower than Vallejo for the office setting.

  • South Carolina

    South Carolina · 95052

    Office

    $5.53

    Facility

    Unavailable

    $2.11 lower than Vallejo for the office setting.

  • South Dakota**

    South Dakota · 95052

    Office

    $5.79

    Facility

    Unavailable

    $1.85 lower than Vallejo for the office setting.

  • Tennessee

    Tennessee · 95052

    Office

    $5.34

    Facility

    Unavailable

    $2.30 lower than Vallejo for the office setting.

  • Austin

    Texas · 95052

    Office

    $6.30

    Facility

    Unavailable

    $1.34 lower than Vallejo for the office setting.

  • Beaumont

    Texas · 95052

    Office

    $5.48

    Facility

    Unavailable

    $2.16 lower than Vallejo for the office setting.

  • Brazoria

    Texas · 95052

    Office

    $5.89

    Facility

    Unavailable

    $1.75 lower than Vallejo for the office setting.

  • Dallas

    Texas · 95052

    Office

    $5.94

    Facility

    Unavailable

    $1.70 lower than Vallejo for the office setting.

  • Fort Worth

    Texas · 95052

    Office

    $5.89

    Facility

    Unavailable

    $1.75 lower than Vallejo for the office setting.

  • Galveston

    Texas · 95052

    Office

    $5.91

    Facility

    Unavailable

    $1.73 lower than Vallejo for the office setting.

  • Houston

    Texas · 95052

    Office

    $6.10

    Facility

    Unavailable

    $1.54 lower than Vallejo for the office setting.

  • Rest Of Texas

    Texas · 95052

    Office

    $5.69

    Facility

    Unavailable

    $1.95 lower than Vallejo for the office setting.

  • Utah

    Utah · 95052

    Office

    $5.64

    Facility

    Unavailable

    $2.00 lower than Vallejo for the office setting.

  • Virginia

    Virginia · 95052

    Office

    $5.82

    Facility

    Unavailable

    $1.82 lower than Vallejo for the office setting.

  • Virgin Islands

    United States Virgin Islands · 95052

    Office

    $6.07

    Facility

    Unavailable

    $1.57 lower than Vallejo for the office setting.

  • Vermont

    Vermont · 95052

    Office

    $5.79

    Facility

    Unavailable

    $1.85 lower than Vallejo for the office setting.

  • Rest Of Washington

    Washington · 95052

    Office

    $6.23

    Facility

    Unavailable

    $1.41 lower than Vallejo for the office setting.

  • Seattle (King Cnty)

    Washington · 95052

    Office

    $7.24

    Facility

    Unavailable

    $0.40 lower than Vallejo for the office setting.

  • Wisconsin

    Wisconsin · 95052

    Office

    $5.54

    Facility

    Unavailable

    $2.10 lower than Vallejo for the office setting.

  • West Virginia

    West Virginia · 95052

    Office

    $5.41

    Facility

    Unavailable

    $2.23 lower than Vallejo for the office setting.

  • Wyoming**

    Wyoming · 95052

    Office

    $5.93

    Facility

    Unavailable

    $1.71 lower than Vallejo for the office setting.

See how rates vary across the country

95052 · 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.

$5.05

$7.39

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$6.231
AL$5.161
AR$5.051
AZ$5.791
CA$6.40–$8.3729
CO$6.301
CT$6.521
DC$7.061
DE$5.911
FL$5.93–$6.763
GA$5.46–$6.172
GU$6.651
HI$6.651
IA$5.331
ID$5.381
IL$5.71–$6.474
IN$5.431
KS$5.301
KY$5.351
LA$5.35–$5.722
MA$6.25–$7.082
MD$6.05–$7.063
ME$5.43–$5.842
MI$5.56–$6.042
MN$5.941
MO$5.22–$5.743
MS$5.141
MT$6.011
NC$5.511
ND$5.811
NE$5.371
NH$6.201
NJ$6.57–$6.942
NM$5.611
NV$5.961
NY$5.63–$7.375
OH$5.521
OK$5.331
OR$5.89–$6.562
PA$5.53–$6.312
PR$6.071
RI$6.161
SC$5.531
SD$5.791
TN$5.341
TX$5.48–$6.308
UT$5.641
VA$5.82–$7.062
VI$6.071
VT$5.791
WA$6.23–$7.242
WI$5.541
WV$5.411
WY$5.931

Explore 95052 on the national rate map →

Where does this rate apply?

Vallejo is a Medicare payment area. Our Census mapping connects it to 11 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 →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 95052 in Vallejo. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$8.40

$7.64 × 110% = $8.40

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.

Compare your contract offer →

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 95052 in Vallejo.

PPRRVU2026_Oct_nonQPP.csv

12,465

Code
95052
Physician work
0.00
Practice expense
0.17
Malpractice
0.01

GPCI2026.csv

33

Locality
Vallejo
Physician work
1.063
Practice expense
1.318
Malpractice
0.459
Office / nonfacility calculation for 95052 in Vallejo
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0630.0000
Practice expense0.17× 1.3180.2241
Malpractice0.01× 0.4590.0046
Total RVUs0.2287
Conversion factor× 33.4009

Office / nonfacility rate, Vallejo$7.64

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

Open 95052 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work01.063
Practice expense0.171.318
Malpractice0.010.459

(0 × 1.063 + 0.17 × 1.318 + 0.01 × 0.459) × $33.4009 = $7.64

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

95052 · Office / nonfacility

$7.64

Effective 2026-10-01

The base rate is $0.71 higher than on 2025-10-01, moving from $6.93 to $7.64 (10.2%).

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

    $6.93changed to$7.64

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.16 changed to 0.17
    • Work GPCI 1.058 changed to 1.063
    • Practice expense GPCI 1.310 changed to 1.318
    • Malpractice GPCI 0.470 changed to 0.459

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $6.93

    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$7.64Not available in this settingRVU26D
2026-07-01$7.64Not available in this settingRVU26C
2026-04-01$7.64Not available in this settingRVU26B
2026-01-01$7.64Not available in this settingRVU26A
2025-10-01$6.93Not available in this settingRVU25D
2025-07-01$6.93Not available in this settingRVU25C
2025-04-01$6.93Not available in this settingRVU25B
2025-01-01$6.93Not available in this settingRVU25A

95052 billing questions

How does 95052 differ from 95044?

95052 evaluates whether light contributes to a skin reaction to an applied substance. 95044 is used for conventional patch or application testing without the photopatch comparison.

How does photopatch testing differ from 95056?

Photopatch testing assesses reactions to applied substances with and without light exposure. 95056 evaluates the skin's response to light itself, without testing an applied contact allergen.

Does 95052 include application and interpretation?

Yes. The photopatch service includes applying the test materials and interpreting the reactions; document the testing and findings in the record.

Can staff perform the testing for a physician claim?

CMS identifies 95052 as an incident-to service, so it is billed only when performed under physician supervision.

What documentation supports reporting 95052?

Document the suspected light-dependent contact reaction, the substances and sites tested, which area received light exposure, the comparison conditions, and the interpreted skin findings.

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 95052PPRRVU2026_Oct_nonQPP.csv, line 12,465 (RVU26D)
Geographic factors for VallejoGPCI2026.csv, line 33 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet