Billing code 95027: Intradermal testingMedicare rate & RVUs in Nevada
Reports sequential, increasing-concentration intradermal testing for immediate reactions to airborne allergens, with the number of tests performed documented.
Medicare pays $4.62 for 95027 in the office in Nevada (Nevada**). 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 95027 covers
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.
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 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | $4.62 | Unavailable |
How the 95027 rate is calculated
Each of 95027’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 · 95027
RVUs × geographic indexes × conversion factor
Work0.01
0.01 RVUs× 1.000 GPCI
Practice expense0.12
0.12 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.1400
Conversion factor
$33.4009
Medicare rate
$4.68
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 95027
95027 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 · 95027
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$4.68
Higher because the practice carries its own overhead.
95027 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 95004Allergy skin prick test
- 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.
- 95024Intradermal allergy test
- Both involve immediate-reaction intradermal allergen testing, but 95027 identifies the sequential, incremental airborne-allergen protocol.
- 95028Allergy skin testing
- 95028 is for intradermal testing of delayed reactions. 95027 concerns immediate-type reactions using sequential, incremental testing for airborne allergens.
- 95017Venom testing
- 95017 is the testing pathway for venom allergens. 95027 is for sequential, incremental intradermal testing of airborne allergens.
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 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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