{
    "code": "95004",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/95004/2017/A",
    "release_specific_url": "https://localishealth.com/cpt/95004/2017/C",
    "description": "Allergy testing in which small amounts of prepared allergen extracts are introduced into the surface of the skin, usually on the forearm or back, by pricking or scratching rather than by deep injection. A raised itchy bump surrounding a red flare within about fifteen minutes signals a reaction to that allergen, and a histamine and a saline spot are placed alongside as controls. The record is kept per individual allergen applied, so a panel covering many pollens, foods, moulds and animal danders is counted by the number of separate tests placed.",
    "answer": {
        "question": "How much did Medicare pay for CPT 95004 in Q3 2017?",
        "text": "Medicare paid $6.82 for CPT 95004 in the office (non-facility) setting and $6.82 in a facility under the Q3 2017 Physician Fee Schedule, effective July 2017. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2017, when it increased 0.3%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2017,
        "quarter": "C",
        "label": "Q3 2017",
        "effective": "July 1 – September 30, 2017",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 6.82,
        "facility": 6.82,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 0.01,
        "practice_expense_non_facility": 0.17,
        "practice_expense_facility": 0.17,
        "malpractice": 0.01
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8887,
    "source": {
        "label": "Physician relative value file (Q3 2017)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu17c.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2017/C",
        "file": "PPRRVU17_JULY_V0503.csv",
        "row": 15844,
        "sha256": "900a883af582a5aea1ddfbf94ff14f240d036b71a2c76cfeb2f699e487fef5ce"
    },
    "modified_at": "2026-08-04T03:07:49+00:00"
}