Billing code 95017: Venom testingMedicare rate & RVUs in Ohio
Reports immediate-response skin testing with insect venoms using percutaneous, intradermal, or combined methods during evaluation of suspected sting allergy.
Medicare pays $7.55 for 95017 in the office in Ohio (Ohio). 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 95017 covers
This service covers skin testing with venom extracts to evaluate immediate allergic reactions, commonly after a patient has had a systemic reaction to an insect sting. An allergist or other qualified clinician may use a percutaneous method, an intradermal method, or both as part of a sequential testing protocol. The clinician assesses the skin responses and documents the interpretation and report. Testing is commonly performed in an allergy office or outpatient setting where the patient can be observed during the evaluation.
Report 95017 for venom testing, rather than the general allergen-extract skin-testing codes, when the tests use venom extracts. Report the number of tests performed, supported by the record of the extracts and testing steps used, the patient’s responses, and the clinician’s interpretation. The CMS physician fee schedule assigns this service a code-specific payment value.
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.
95017 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | $7.55 | $2.98 |
How the 95017 rate is calculated
Each of 95017’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 · 95017
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.07Practice expense 0.16Malpractice 0.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 95017
95017 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 · 95017
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$8.02
The facility rate would be $3.01 (+$5.01). In a facility, the facility bills its own costs separately.
95017 compared with similar codes
Compare codes
95017 vs 95004 vs 95024 vs 95018 vs 95044: national Medicare rates
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How to choose
- 95004Allergy skin prick test
- Choose 95017 for venom extracts. Code 95004 describes percutaneous testing with other allergenic extracts.
- 95024Intradermal allergy test
- Choose 95017 for venom extracts, whether percutaneous, intradermal, or combined methods are used. Code 95024 is for intradermal testing with allergenic extracts generally.
- 95018Drug allergy testing
- The tested material determines the code: 95017 is for venoms, while 95018 is for drugs or biologicals.
- 95044Patch testing
- Code 95017 evaluates immediate skin responses to venoms; 95044 is used for patch or application testing of delayed reactions.
95017 billing questions
When should 95017 be used instead of 95004?
Use 95017 for immediate-response skin testing with venom extracts. Code 95004 is for percutaneous testing with other allergenic extracts.
Does 95017 cover both percutaneous and intradermal venom testing?
Yes. The code covers venom testing performed by either method or by a combination of the two.
How should the number of tests be reported?
Report the number of individual tests performed. The documentation should identify the venom extracts and testing steps that support that count.
Is interpretation included in the service?
Yes. The service includes assessment of the immediate skin responses and the clinician’s interpretation and report.
How does 95017 differ from 95018?
Both codes cover combined percutaneous and intradermal testing approaches, but 95017 is for venoms and 95018 is for drugs or biologicals.
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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