$3.25–$3.53
95004 is for percutaneous allergen tests, such as prick or puncture tests. Choose 95027 when the performed method is sequential, incremental intradermal testing for airborne allergens.
On this page
CMS RVU26D · Effective 2026-10-01
95027 Intradermal testing Medicare reimbursement rates in Missouri
Reports sequential, increasing-concentration intradermal testing for immediate reactions to airborne allergens, with the number of tests performed documented. Compare 95027 office and facility rates across CMS payment localities in Missouri.
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 95027 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$4.11–$4.48
3 of 3 localities have a supported rate.
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.
Where 95027 pays more and less in Missouri
3 payment localities
$4.11 to $4.48
Allergy testing
About 95027: Sequential intradermal airborne allergen testing
Reports sequential, increasing-concentration intradermal testing for immediate reactions to airborne allergens, with the number of tests performed documented.
This service uses intradermal injections of airborne allergen extracts in a sequential, incremental series to assess immediate-type sensitivity. Allergy specialists commonly perform it in an office allergy clinic, sometimes after percutaneous testing has not resolved the clinical question. The series may evaluate suspected sensitivity to aeroallergens such as pollens, dust mites, or animal dander.
Select 95027 for the sequential and incremental intradermal protocol for airborne allergens, rather than routine intradermal testing or percutaneous testing. The record should identify the allergens tested, the testing sequence, the number of tests performed, and the observed reactions. Report the documented test count, not simply one unit for the visit. CMS assigns work, practice-expense, and malpractice relative values to the service; the supplied CMS facts list no additional payment rules for this code.
Where the value comes from
- Work RVU0.01 · 7%
- Practice expense (office) RVU0.12 · 86%
- Malpractice RVU0.01 · 7%
98K
Medicare services in 2024 · #568 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.
95027 compared with similar codes
Office rates for Missouri, from the same CMS release.
$6.71–$7.35
Both involve immediate-reaction intradermal allergen testing, but 95027 identifies the sequential, incremental airborne-allergen protocol.
$10.69–$11.78
95028 is for intradermal testing of delayed reactions. 95027 concerns immediate-type reactions using sequential, incremental testing for airborne allergens.
$7.27–$7.76
95017 is the testing pathway for venom allergens. 95027 is for sequential, incremental intradermal testing of airborne allergens.
Compare 95027 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$4.42
Facility
Unavailable
Metropolitan St. Louis →
Office / nonfacility
$4.48
Facility
Unavailable
Rest Of Missouri →
Office / nonfacility
$4.11
Facility
Unavailable
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95027 billing questions
How does 95027 differ from 95024?
95027 is for sequential, incremental intradermal testing of airborne allergens. 95024 describes intradermal allergen testing without that sequential-and-incremental distinction.
When would 95004 be more appropriate?
Use 95004 for percutaneous testing, such as prick or puncture testing. 95027 is for the specified intradermal sequence, not surface testing.
How many units should be reported?
Report the number of tests performed and documented, rather than one unit for the entire allergy-testing visit. The record should support the test count and the incremental sequence.
Can an office visit be reported on the same date?
A separately identifiable evaluation may be reported when the documentation supports a distinct E/M service in addition to the testing. The testing work alone does not establish a separate office visit.
Is 95027 used for venom or drug testing?
No. This code is specific to sequential, incremental intradermal testing for airborne allergens; venom and drug or biologic testing have separate code pathways.
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.
12,45995017,,All tstg perq&iq w/venoms,A,,0.07,0.16,,0.01,,0.01,0.24,0.09,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,46095018,,All tstg perq&iq drugs/biol,A,,0.14,0.42,,0.03,,0.01,0.57,0.18,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,46195024,,Iq tests w/allergenic xtrcs,A,,0.01,0.21,,0.01,,0.01,0.23,0.03,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,46295027,,Iq tsts seql&incrl airborne,A,,0.01,0.12,,0.12,NA,0.01,0.14,0.14,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,46395028,,Iq tsts allergy delayed rxn,A,,0.00,0.36,,0.36,NA,0.01,0.37,0.37,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,46495044,,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