$23.99
95060 is for the ocular mucous membrane; 95065 is for direct testing of the nasal mucous membrane.
On this page
CMS RVU26D · Effective 2026-10-01
95060 Ophthalmic allergy test Medicare reimbursement rates in Arkansas
Reports testing of the ocular mucous membrane, typically by allergen exposure, when evaluating a suspected allergic response involving the eye. Compare 95060 office and facility rates across CMS payment localities in Arkansas.
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.
What does Medicare pay for 95060 in Arkansas?
Arkansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$34.89
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Allergy testing
About 95060: Ocular mucous membrane allergy test
Reports testing of the ocular mucous membrane, typically by allergen exposure, when evaluating a suspected allergic response involving the eye.
Code 95060 describes testing the ocular mucous membrane, generally by exposing the conjunctiva to a selected allergen to assess a local response. Allergists and ophthalmologists may perform this test when evaluating suspected allergic conjunctivitis or another allergy-related eye complaint. It is distinct from skin testing because the test site is the eye rather than the skin.
Select 95060 when the service is ocular mucous membrane testing, not nasal mucosal testing or percutaneous or intracutaneous allergen testing. Documentation should identify the clinical indication, test site, allergen or material used, and the procedure and observed response. CMS classifies 95060 as a technical-component-only code; interpretation is covered by a separate code. Report the interpretation separately when performed and supported by documentation.
CMS billing rules for 95060
- Professional and technical components
- Technical-component-only code: a separate code covers interpretation.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU1.21 · 99%
- Malpractice RVU0.01 · 1%
1.1K
Medicare services in 2024 · #2909 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.
95060 compared with similar codes
Office rates for Arkansas, from the same CMS release.
$3.09
95004 describes percutaneous allergen skin testing. Choose 95060 when the test is performed on the ocular mucous membrane.
$6.53
95024 is intracutaneous allergen testing, while 95060 tests the ocular mucous membrane.
$4.19
95044 describes patch or application testing for delayed contact reactions on the skin, not ocular mucous membrane testing.
Compare 95060 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Arkansas →
Office / nonfacility
$34.89
Facility
Unavailable
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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 95060 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
12,467
- Code
- 95060
- Physician work
- 0.00
- Practice expense
- 1.21
- Malpractice
- 0.01
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 1.21 | × 0.859 | 1.0394 |
| Malpractice | 0.01 | × 0.515 | 0.0052 |
| Total RVUs | 1.0445 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Arkansas$34.89
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 1.21 | 0.859 |
| Malpractice | 0.01 | 0.515 |
(0 × 1 + 1.21 × 0.859 + 0.01 × 0.515) × $33.4009 = $34.89
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.
95060 billing questions
When should 95060 be selected instead of 95065?
Use 95060 for testing at the ocular mucous membrane and 95065 for direct testing of the nasal mucous membrane. The test site distinguishes the codes.
Does 95060 include physician interpretation?
No. CMS identifies 95060 as technical-component-only; interpretation is covered by a separate code.
How does 95060 differ from routine allergy skin testing?
95060 tests the ocular mucous membrane. Codes such as 95004 and 95024 describe percutaneous and intracutaneous allergen testing, respectively.
What documentation supports reporting 95060?
Document the eye-related indication, ocular test site, allergen or material used, testing performed, and observed response. Keep interpretation documentation distinct because it is represented separately.
Can 95060 be used for patch testing of contact allergy?
No. 95060 is for ocular mucous membrane testing; 95044 describes patch or application testing for delayed contact reactions.
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.
12,46495044,,Patch/application tests,A,,0.00,0.14,,0.14,NA,0.01,0.15,0.15,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,46595052,,Photo patch tests,A,,0.00,0.17,,0.17,NA,0.01,0.18,0.18,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,46695056,,Photo tests,A,,0.00,1.53,,1.53,NA,0.02,1.55,1.55,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,46795060,,Oph mucous membrane tests,A,,0.00,1.21,,1.21,NA,0.01,1.22,1.22,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
12,46895065,,Dir nsl mucous membrane test,A,,0.00,0.83,,0.83,NA,0.01,0.84,0.84,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
12,46995070,,Inhlj brncl challenge tstg,A,,0.00,1.16,,1.16,NA,0.03,1.19,1.19,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,47095076,,Ingest challenge ini 120 min,A,,1.50,2.13,,0.31,,0.06,3.69,1.87,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541