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CMS RVU26D · Effective 2026-10-01

95180 in Wyoming**

Office / nonfacility

$137.00

Base rate per service

Facility setting

$86.23

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 and immunology

About 95180: Rapid medication desensitization

Reports monitored, stepwise medication desensitization performed over multiple hours to help a patient with drug hypersensitivity receive a needed therapy.

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.

Where the value comes from

  • Work RVU2.01 · 49%
  • Practice expense (office) RVU2.04 · 50%
  • Malpractice RVU0.07 · 2%

11.8K

Medicare services in 2024 · #1388 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.

95180 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

95115

Allergy shot

Single injection, extract not included

$10.27

95115 describes routine allergen immunotherapy administration involving one injection. Choose 95180 for a monitored, stepwise medication desensitization protocol performed over hours.

95117

Allergy shots

Two or more injections, extract not included

$12.27

95117 is for routine allergen immunotherapy administration involving multiple injections. It does not describe the prolonged dose escalation used for rapid medication desensitization.

95165

Allergy extract preparation

Multidose vials, per dose

$17.28

95165 covers preparation and provision of allergen immunotherapy antigens. It is not the code for administering escalating medication doses during desensitization.

The same code, a different location

How does Wyoming** compare?

95180 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $137.00

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

    $152.05

    $15.05 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $153.63

    $16.63 higher than Wyoming**

  4. Miami

    $143.98

    $6.98 higher than Wyoming**

  5. Chicago

    $141.45

    $4.45 higher than Wyoming**

  6. Manhattan

    $154.32

    $17.32 higher than Wyoming**

  7. Alaska*

    $174.56

    $37.56 higher than Wyoming**

Other payment areas listed in Wyoming 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, 95180 ranges from $126.87 in Arkansas to $174.56 in Alaska*. 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

  • Alabama

    Alabama · 95180

    Office

    $128.08

    Facility

    $83.66

    $8.92 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 95180

    Office

    $126.87

    Facility

    $83.26

    $10.13 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 95180

    Office

    $135.16

    Facility

    $85.97

    $1.84 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 95180

    Office

    $144.51

    Facility

    $88.87

    $7.51 higher than Wyoming** for the office setting.

  • Chico

    California · 95180

    Office

    $144.21

    Facility

    $88.57

    $7.21 higher than Wyoming** for the office setting.

  • El Centro

    California · 95180

    Office

    $144.22

    Facility

    $88.58

    $7.22 higher than Wyoming** for the office setting.

  • Fresno

    California · 95180

    Office

    $144.21

    Facility

    $88.57

    $7.21 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 95180

    Office

    $144.21

    Facility

    $88.57

    $7.21 higher than Wyoming** for the office setting.

  • Madera

    California · 95180

    Office

    $144.21

    Facility

    $88.57

    $7.21 higher than Wyoming** for the office setting.

  • Merced

    California · 95180

    Office

    $144.21

    Facility

    $88.57

    $7.21 higher than Wyoming** for the office setting.

  • Modesto

    California · 95180

    Office

    $144.21

    Facility

    $88.57

    $7.21 higher than Wyoming** for the office setting.

  • Napa

    California · 95180

    Office

    $162.36

    Facility

    $95.44

    $25.36 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 95180

    Office

    $151.01

    Facility

    $91.00

    $14.01 higher than Wyoming** for the office setting.

  • Redding

    California · 95180

    Office

    $144.21

    Facility

    $88.57

    $7.21 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 95180

    Office

    $144.21

    Facility

    $88.57

    $7.21 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 95180

    Office

    $145.02

    Facility

    $89.37

    $8.02 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 95180

    Office

    $150.05

    Facility

    $91.01

    $13.05 higher than Wyoming** for the office setting.

  • Salinas

    California · 95180

    Office

    $149.44

    Facility

    $90.60

    $12.44 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 95180

    Office

    $151.91

    Facility

    $91.19

    $14.91 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 95180

    Office

    $170.66

    Facility

    $99.08

    $33.66 higher than Wyoming** for the office setting.

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

    California · 95180

    Office

    $170.58

    Facility

    $99.00

    $33.58 higher than Wyoming** for the office setting.

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

    California · 95180

    Office

    $174.03

    Facility

    $100.82

    $37.03 higher than Wyoming** for the office setting.

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

    California · 95180

    Office

    $173.70

    Facility

    $100.49

    $36.70 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 95180

    Office

    $147.14

    Facility

    $89.31

    $10.14 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 95180

    Office

    $152.59

    Facility

    $90.90

    $15.59 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 95180

    Office

    $149.72

    Facility

    $90.52

    $12.72 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 95180

    Office

    $154.08

    Facility

    $91.73

    $17.08 higher than Wyoming** for the office setting.

  • Stockton

    California · 95180

    Office

    $144.21

    Facility

    $88.57

    $7.21 higher than Wyoming** for the office setting.

  • Vallejo

    California · 95180

    Office

    $162.24

    Facility

    $95.33

    $25.24 higher than Wyoming** for the office setting.

  • Visalia

    California · 95180

    Office

    $144.21

    Facility

    $88.57

    $7.21 higher than Wyoming** for the office setting.

  • Yuba City

    California · 95180

    Office

    $144.21

    Facility

    $88.57

    $7.21 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 95180

    Office

    $142.27

    Facility

    $88.25

    $5.27 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 95180

    Office

    $144.69

    Facility

    $90.01

    $7.69 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 95180

    Office

    $136.89

    Facility

    $86.73

    $0.11 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 95180

    Office

    $140.39

    Facility

    $88.96

    $3.39 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 95180

    Office

    $135.79

    Facility

    $87.25

    $1.21 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 95180

    Office

    $139.37

    Facility

    $87.79

    $2.37 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 95180

    Office

    $130.70

    Facility

    $85.42

    $6.30 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 95180

    Office

    $145.96

    Facility

    $88.24

    $8.96 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 95180

    Office

    $130.41

    Facility

    $83.96

    $6.59 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 95180

    Office

    $130.93

    Facility

    $84.22

    $6.07 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 95180

    Office

    $134.53

    Facility

    $87.82

    $2.47 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 95180

    Office

    $133.00

    Facility

    $86.65

    $4.00 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 95180

    Office

    $141.73

    Facility

    $89.59

    $4.73 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 95180

    Office

    $131.44

    Facility

    $84.37

    $5.56 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 95180

    Office

    $129.91

    Facility

    $84.02

    $7.09 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 95180

    Office

    $129.85

    Facility

    $84.72

    $7.15 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 95180

    Office

    $133.91

    Facility

    $86.14

    $3.09 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 95180

    Office

    $129.68

    Facility

    $84.75

    $7.32 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 95180

    Office

    $153.33

    Facility

    $92.71

    $16.33 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 95180

    Office

    $141.82

    Facility

    $88.36

    $4.82 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 95180

    Office

    $144.21

    Facility

    $89.74

    $7.21 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 95180

    Office

    $138.91

    Facility

    $87.53

    $1.91 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 95180

    Office

    $131.28

    Facility

    $84.57

    $5.72 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 95180

    Office

    $136.14

    Facility

    $85.82

    $0.86 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 95180

    Office

    $136.83

    Facility

    $87.84

    $0.17 lower than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 95180

    Office

    $131.99

    Facility

    $85.63

    $5.01 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 95180

    Office

    $137.94

    Facility

    $85.70

    $0.94 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 95180

    Office

    $133.40

    Facility

    $85.73

    $3.60 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 95180

    Office

    $134.35

    Facility

    $86.01

    $2.65 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 95180

    Office

    $128.15

    Facility

    $84.38

    $8.85 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 95180

    Office

    $127.53

    Facility

    $83.82

    $9.47 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 95180

    Office

    $137.61

    Facility

    $86.84

    $0.61 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 95180

    Office

    $132.20

    Facility

    $84.83

    $4.80 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 95180

    Office

    $136.22

    Facility

    $85.45

    $0.78 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 95180

    Office

    $130.91

    Facility

    $84.05

    $6.09 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 95180

    Office

    $140.11

    Facility

    $87.26

    $3.11 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 95180

    Office

    $152.90

    Facility

    $94.01

    $15.90 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 95180

    Office

    $146.79

    Facility

    $91.35

    $9.79 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 95180

    Office

    $132.43

    Facility

    $85.87

    $4.57 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 95180

    Office

    $137.29

    Facility

    $86.47

    $0.29 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 95180

    Office

    $156.79

    Facility

    $96.43

    $19.79 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 95180

    Office

    $147.60

    Facility

    $92.00

    $10.60 higher than Wyoming** for the office setting.

  • Queens

    New York · 95180

    Office

    $155.34

    Facility

    $95.33

    $18.34 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 95180

    Office

    $133.51

    Facility

    $85.28

    $3.49 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 95180

    Office

    $131.70

    Facility

    $85.35

    $5.30 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 95180

    Office

    $129.80

    Facility

    $84.46

    $7.20 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 95180

    Office

    $145.65

    Facility

    $89.25

    $8.65 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 95180

    Office

    $136.64

    Facility

    $86.08

    $0.36 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 95180

    Office

    $142.07

    Facility

    $89.21

    $5.07 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 95180

    Office

    $131.90

    Facility

    $85.29

    $5.10 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 95180

    Office

    $138.33

    Facility

    $87.00

    $1.33 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 95180

    Office

    $140.88

    Facility

    $88.44

    $3.88 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 95180

    Office

    $132.08

    Facility

    $85.17

    $4.92 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 95180

    Office

    $136.06

    Facility

    $85.29

    $0.94 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 95180

    Office

    $130.33

    Facility

    $84.18

    $6.67 lower than Wyoming** for the office setting.

  • Austin

    Texas · 95180

    Office

    $141.43

    Facility

    $87.72

    $4.43 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 95180

    Office

    $131.31

    Facility

    $85.11

    $5.69 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 95180

    Office

    $137.02

    Facility

    $86.71

    $0.02 higher than Wyoming** for the office setting.

  • Dallas

    Texas · 95180

    Office

    $137.61

    Facility

    $87.05

    $0.61 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 95180

    Office

    $136.96

    Facility

    $86.90

    $0.04 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 95180

    Office

    $137.27

    Facility

    $86.86

    $0.27 higher than Wyoming** for the office setting.

  • Houston

    Texas · 95180

    Office

    $138.55

    Facility

    $88.14

    $1.55 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 95180

    Office

    $133.91

    Facility

    $85.73

    $3.09 lower than Wyoming** for the office setting.

  • Utah

    Utah · 95180

    Office

    $133.28

    Facility

    $85.56

    $3.72 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 95180

    Office

    $135.77

    Facility

    $85.86

    $1.23 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 95180

    Office

    $138.33

    Facility

    $87.00

    $1.33 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 95180

    Office

    $135.78

    Facility

    $85.51

    $1.22 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 95180

    Office

    $141.54

    Facility

    $88.08

    $4.54 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 95180

    Office

    $156.01

    Facility

    $93.71

    $19.01 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 95180

    Office

    $133.13

    Facility

    $84.49

    $3.87 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 95180

    Office

    $129.69

    Facility

    $85.57

    $7.31 lower than Wyoming** for the office setting.

See how rates vary across the country

95180 · 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.

$126.87

$174.56

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

View all state and territory rates as a table
State / territoryRate 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

Explore 95180 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 Wyoming →

Why are the office and facility amounts different?

For 95180 in Wyoming**, the physician’s office rate is $137.00 and the facility-setting rate is $86.23: a difference of $50.77.

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 95180 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$150.70

$137.00 × 110% = $150.70

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 95180 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

12,489

Code
95180
Physician work
2.01
Practice expense
2.04
Malpractice
0.07

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 95180 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work2.01× 1.0002.0100
Practice expense2.04× 1.0002.0400
Malpractice0.07× 0.7400.0518
Total RVUs4.1018
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$137.00

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

Open 95180 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.011
Practice expense2.041
Malpractice0.070.74

(2.01 × 1 + 2.04 × 1 + 0.07 × 0.74) × $33.4009 = $137.00

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.011
Practice expense0.521
Malpractice0.070.74

(2.01 × 1 + 0.52 × 1 + 0.07 × 0.74) × $33.4009 = $86.23

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

95180 · Office / nonfacility

$137.00

Effective 2026-10-01

The base rate is $2.06 higher than on 2025-10-01, moving from $134.94 to $137.00 (1.5%).

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

    $134.94changed to$137.00

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 2.11 changed to 2.04
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $134.94

    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$137.00$86.23RVU26D
2026-07-01$137.00$86.23RVU26C
2026-04-01$137.00$86.23RVU26B
2026-01-01$137.00$86.23RVU26A
2025-10-01$134.94$98.07RVU25D
2025-07-01$134.94$98.07RVU25C
2025-04-01$134.94$98.07RVU25B
2025-01-01$134.94$98.07RVU25A

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 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 95180PPRRVU2026_Oct_nonQPP.csv, line 12,489 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet