95004
AllergyCMS status: APercutaneous tests with allergenic extracts, immediate type reaction, including test interpretation and report, specify number of tests.
Work RVU
0.01
Practice RVU
0.13
Malpractice RVU
0.00
Total RVU
0.14
2026 Medicare payment
$4.68
National GPCI = 1.000 · Conversion factor $33.4009 · Non-facility
Model this code
Drop 95004 into a scenario to see how unit volume rolls up to annual wRVUs, gross collections, and bonus.
Open in calculator →When to use it
Skin prick allergy testing. Billed per-test (per antigen).
Documentation checklist
- ✓List of antigens tested.
- ✓Reactions (wheal/flare measurements).
- ✓Interpretation with positive/negative panel.
Common pitfalls
- !Billing as one unit when 40 antigens were tested — must report number of tests in units.
- !Patient on antihistamines invalidates the test.
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.