Allergy · CMS status A
95004
Percutaneous allergy test (per test)
Percutaneous tests with allergenic extracts, immediate type reaction, including test interpretation and report, specify number of tests.
Work RVU
0.01
2026 Medicare pays
$4.68
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 0.01 + Practice 0.13 + Malpractice 0.00 = 0.14 total
Work (your effort)Practice expenseMalpractice
Billing guidance for 95004 is locked
- When to use it: the exact clinical situations that support billing 95004
- Documentation checklist: the 3 elements your note needs before submitting
- Common pitfalls: the 2 mistakes that get 95004 downcoded or denied
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Common ICD-10 pairings
Z91.030J30.1
Pairs well with
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.