Billing code 95149: Venom antigen preparationMedicare rate & RVUs in Georgia
Reports allergen immunotherapy antigen preparation and provision for a patient receiving treatment with five or more distinct stinging-insect venoms.
Medicare pays $106.08–$120.51 for 95149 in the office in Georgia, from Rest Of Georgia to Atlanta. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 95149 covers
This service covers the supervision of preparing and supplying venom antigens for allergen immunotherapy when the treatment includes five or more distinct stinging-insect venoms. An allergist or other qualified clinician typically arranges this work in an allergy practice; the prepared extracts may include venoms such as honeybee, yellow jacket, or hornet. The service concerns the antigen preparation and provision, not the injection given to the patient.
Choose this level based on the number of distinct venom types prepared for the patient, rather than the number of injections or visits. The record should support the venom types and the preparation and provision performed. CMS assigns physician fee schedule relative values for work, practice expense, and malpractice; the practice-expense value differs between office and facility settings. Report a separate, appropriate immunotherapy administration service when an injection is also given, supported by the service documentation.
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 95149 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta | $120.51 | $2.75 |
| Rest Of Georgia | $106.08 | $2.70 |
How the 95149 rate is calculated
Each of 95149’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.
How the rate is built · 95149
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.06Practice expense 3.48Malpractice 0.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 95149
95149 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.
Place of service · 95149
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$118.57
The facility rate would be $2.67 (+$115.90). In a facility, the facility bills its own costs separately.
95149 compared with similar codes
Compare codes
95149 vs 95148 vs 95165 vs 95134: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 95148Venom antigen preparation
- Use 95148 when the prepared immunotherapy includes four distinct stinging-insect venoms. Use 95149 for five or more.
- 95165Allergy extract preparation
- 95149 identifies preparation and provision at the five-or-more stinging-insect venom level. 95165 is a different antigen-preparation service, not a venom-count substitute.
- 95134Immntx 5 sting insects
- 95134 represents the immunotherapy administration service for five or more stinging-insect venoms. 95149 represents preparation and provision of the venom antigens.
95149 billing questions
How is 95149 different from 95148?
95149 is for preparation and provision involving five or more distinct stinging-insect venoms. 95148 is the adjacent level for four venoms.
Does 95149 include giving the injection?
No. It covers supervision of venom-antigen preparation and provision; report an appropriate injection service separately when an injection is administered.
Can 95149 be reported with 95134?
They represent different services: venom-antigen preparation and provision versus immunotherapy administration for five or more stinging-insect venoms. Report both when each service was performed and documented.
Is 95149 selected by the number of injection visits?
No. Select it according to the number of distinct venom types prepared, with this level representing five or more.
What documentation supports 95149?
Document the distinct stinging-insect venom types included and the preparation and provision service. The record should support that the service involved five or more venoms.
How does 95149 differ from 95165?
95149 is the level for five or more stinging-insect venoms. 95165 is used for allergen antigen preparation services outside this specific venom-count level.
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
Show the CMS file lines behind this rate
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