$7.45
Choose 95024 for intradermal allergenic-extract tests assessing immediate-type responses. Choose 95028 when the intradermal test evaluates a delayed-type response.
On this page
CMS RVU26D · Effective 2026-10-01
95028 Allergy skin testing Medicare reimbursement rates in Vermont
Reports intradermal allergy tests used to evaluate delayed-type skin responses, with the test count documented separately from interpretation. Compare 95028 office and facility rates across CMS payment localities in Vermont.
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 95028 in Vermont?
Vermont 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
$12.07
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
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.
Allergy testing
About 95028: Intradermal delayed-reaction allergy testing
Reports intradermal allergy tests used to evaluate delayed-type skin responses, with the test count documented separately from interpretation.
Code 95028 represents intradermal allergy testing intended to detect a delayed-type response, rather than the immediate wheal-and-flare response assessed by routine immediate skin tests. The clinician introduces selected allergenic material into the skin and evaluates the response after the appropriate delay. Allergy and immunology clinicians commonly perform this testing in an outpatient office when a delayed hypersensitivity response is being investigated; the code is distinguished by both the intradermal route and delayed-response purpose, not merely by the fact that a result is read later.
Report the number of tests performed, with the record identifying the tested substances, intradermal placement, and delayed-response evaluation. Do not substitute 95024 for immediate-type intradermal testing, or 95044 when the procedure uses patch testing for contact sensitivity. CMS classifies 95028 as technical-component-only: it covers the testing procedure, while interpretation is represented by a separate code. Keep documentation for the procedure and the separately coded interpretation distinct; a delayed reading alone does not make an immediate-type test reportable as 95028.
CMS billing rules for 95028
- Professional and technical components
- Technical-component-only code: a separate code covers interpretation.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU0.36 · 97%
- Malpractice RVU0.01 · 3%
6.9K
Medicare services in 2024 · #1675 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.
95028 compared with similar codes
Office rates for Vermont, from the same CMS release.
$4.80
95044 describes patch or application testing, rather than injecting test material intradermally. The route and testing method distinguish it from 95028.
$18.73
95018 is for percutaneous and intradermal testing with drugs or biologicals for immediate-type reactions. 95028 is distinguished by its delayed-response purpose.
Compare 95028 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
Vermont →
Office / nonfacility
$12.07
Facility
Unavailable
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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 95028 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
12,463
- Code
- 95028
- Physician work
- 0.00
- Practice expense
- 0.36
- Malpractice
- 0.01
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 0.36 | × 0.990 | 0.3564 |
| Malpractice | 0.01 | × 0.506 | 0.0051 |
| Total RVUs | 0.3615 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$12.07
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 0.36 | 0.99 |
| Malpractice | 0.01 | 0.506 |
(0 × 1 + 0.36 × 0.99 + 0.01 × 0.506) × $33.4009 = $12.07
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.
95028 billing questions
How does 95028 differ from 95024?
95028 is for intradermal testing directed at delayed-type responses. 95024 is for intradermal tests assessing immediate-type reactions.
Is interpretation included in 95028?
No. CMS identifies 95028 as technical-component-only, with interpretation covered by a separate code.
How should the test count be documented?
Identify the substances tested and document the number of intradermal tests performed. A later reading is not a separate test.
When is 95044 a better fit?
Use 95044 for patch or application testing, commonly used to evaluate contact sensitivity. Use 95028 when the testing method is intradermal and the response being evaluated is delayed-type.
Does an immediate test reported later become 95028?
No. Code selection follows the response type the test is designed to assess, not simply when the result is read.
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.
12,46095018,,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
12,46695056,,Photo tests,A,,0.00,1.53,,1.53,NA,0.02,1.55,1.55,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817