When should I use 95115?

Single allergen injection. Use 95117 for 2+ injections same encounter.

What documentation does 95115 require?

- Injection given, supervision, observation period, reactions.

What are common 95115 billing pitfalls?

- 95117 is for 2 OR MORE injections, not per-arm. - Antigen preparation (95165) is billed separately per dose prepared.

How much does 95115 pay in 2026?

2026 work RVU for 95115 is 0.07. National Medicare non-facility allowable is approximately $9.35 at the 2026 conversion factor. Adjust for locality GPCI and your payer's contracted conversion factor for actual payment.

Allergy · CMS status A

95115

Allergen injection, single

Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection.

Allergy

Model in calculator →Audit a note

Work RVU

0.07

2026 Medicare pays

$9.35

National GPCI · non-facility · CF $33.4009

RVU anatomyWork 0.07 + Practice 0.20 + Malpractice 0.01 = 0.28 total

Work (your effort)Practice expenseMalpractice

When to use it

Single allergen injection.

Full guidance

Use 95117 for 2+ injections same encounter.

Documentation checklist

✓Injection given, supervision, observation period, reactions.

Common pitfalls

!95117 is for 2 OR MORE injections, not per-arm.
!Antigen preparation (95165) is billed separately per dose prepared.

Common ICD-10 pairings

J30.1

Pairs well with

95165

0.07 wRVU

Antigen preparation, per dose

Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.