$10.41
95115 describes routine allergen immunotherapy administration involving one injection. Choose 95180 for a monitored, stepwise medication desensitization protocol performed over hours.
On this page
CMS RVU26D · Effective 2026-10-01
95180 Rapid desensitization Medicare reimbursement rates in Minnesota
Reports monitored, stepwise medication desensitization performed over multiple hours to help a patient with drug hypersensitivity receive a needed therapy. Compare 95180 office and facility rates across CMS payment localities in Minnesota.
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 95180 in Minnesota?
Minnesota 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
$137.94
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
Facility setting
$85.70
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
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 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 Minnesota, from the same CMS release.
$12.47
95117 is for routine allergen immunotherapy administration involving multiple injections. It does not describe the prolonged dose escalation used for rapid medication desensitization.
$17.57
95165 covers preparation and provision of allergen immunotherapy antigens. It is not the code for administering escalating medication doses during desensitization.
Compare 95180 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
Minnesota →
Office / nonfacility
$137.94
Facility
$85.70
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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 95180 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
12,489
- Code
- 95180
- Physician work
- 2.01
- Practice expense
- 2.04
- Malpractice
- 0.07
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.01 | × 1.000 | 2.0100 |
| Practice expense | 2.04 | × 1.029 | 2.0992 |
| Malpractice | 0.07 | × 0.296 | 0.0207 |
| Total RVUs | 4.1299 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Minnesota$137.94
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.01 | 1 |
| Practice expense | 2.04 | 1.029 |
| Malpractice | 0.07 | 0.296 |
(2.01 × 1 + 2.04 × 1.029 + 0.07 × 0.296) × $33.4009 = $137.94
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.01 | 1 |
| Practice expense | 0.52 | 1.029 |
| Malpractice | 0.07 | 0.296 |
(2.01 × 1 + 0.52 × 1.029 + 0.07 × 0.296) × $33.4009 = $85.70
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.
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.
12,48695149,,Antigen therapy services,A,,0.06,3.48,,0.01,,0.01,3.55,0.08,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,48795165,,Antigen therapy services,A,,0.06,0.45,,0.01,,0.01,0.52,0.08,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,48895170,,Antigen therapy services,A,,0.06,0.25,,0.01,,0.01,0.32,0.08,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,48995180,,Rapid desensitization,A,,2.01,2.04,,0.52,,0.07,4.12,2.60,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,49095199,,Unlisted all/immlg svc/px,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,49195249,,Cont gluc mntr pt prov eqp,A,,0.00,2.05,,2.05,NA,0.04,2.09,2.09,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,49295250,,Cont gluc mntr phys/qhp eqp,A,,0.00,4.52,,4.52,NA,0.05,4.57,4.57,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002