$3.32
Choose 95017 for venom extracts. Code 95004 describes percutaneous testing with other allergenic extracts.
On this page
CMS RVU26D · Effective 2026-10-01
95017 Venom testing Medicare reimbursement rates in Wisconsin
Reports immediate-response skin testing with insect venoms using percutaneous, intradermal, or combined methods during evaluation of suspected sting allergy. Compare 95017 office and facility rates across CMS payment localities in Wisconsin.
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 95017 in Wisconsin?
Wisconsin 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
$7.56
1 of 1 localities have a supported rate.
Payment area: Wisconsin
One mapped payment locality.
Facility setting
$2.76
1 of 1 localities have a supported rate.
Payment area: Wisconsin
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 testing
About 95017: Venom allergy skin testing
Reports immediate-response skin testing with insect venoms using percutaneous, intradermal, or combined methods during evaluation of suspected sting allergy.
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.
Where the value comes from
- Work RVU0.07 · 29%
- Practice expense (office) RVU0.16 · 67%
- Malpractice RVU0.01 · 4%
13.6K
Medicare services in 2024 · #1311 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.
95017 compared with similar codes
Office rates for Wisconsin, from the same CMS release.
$7.16
Choose 95017 for venom extracts, whether percutaneous, intradermal, or combined methods are used. Code 95024 is for intradermal testing with allergenic extracts generally.
$18.22
The tested material determines the code: 95017 is for venoms, while 95018 is for drugs or biologicals.
$4.58
Code 95017 evaluates immediate skin responses to venoms; 95044 is used for patch or application testing of delayed reactions.
Compare 95017 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
Wisconsin →
Office / nonfacility
$7.56
Facility
$2.76
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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 95017 in Wisconsin.
PPRRVU2026_Oct_nonQPP.csv
12,459
- Code
- 95017
- Physician work
- 0.07
- Practice expense
- 0.16
- Malpractice
- 0.01
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.07 | × 1.000 | 0.0700 |
| Practice expense | 0.16 | × 0.958 | 0.1533 |
| Malpractice | 0.01 | × 0.308 | 0.0031 |
| Total RVUs | 0.2264 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wisconsin$7.56
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.07 | 1 |
| Practice expense | 0.16 | 0.958 |
| Malpractice | 0.01 | 0.308 |
(0.07 × 1 + 0.16 × 0.958 + 0.01 × 0.308) × $33.4009 = $7.56
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.07 | 1 |
| Practice expense | 0.01 | 0.958 |
| Malpractice | 0.01 | 0.308 |
(0.07 × 1 + 0.01 × 0.958 + 0.01 × 0.308) × $33.4009 = $2.76
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.
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 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.
12,45694799,TC,Unlisted pulmonary svc/px,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,45795004,,Perq tests w/alrgnc xtrcs,A,,0.01,0.09,,0.09,NA,0.01,0.11,0.11,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,45895012,,Nitric oxide exp gas deter,A,,0.00,0.58,,0.58,NA,0.01,0.59,0.59,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,45995017,,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
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,