CPT 95024 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Medicine Services and Procedures • Allergy and Clinical Immunology Procedures |
| Common Place of Service | • 11 - Office • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • 59 - Distinct Procedural Service • 76 - Repeat procedure by same physician |
| Complexity Level | Low |
National average reimbursement for CPT 95024 by major payers:
$8.86
$14.20
$10.12
$11.35
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 95024 | ||||||
United | 95024 | $16.51 | 1184073918 - MICHELLE MCGHEE | 862109896 - DUKE HEALTH INTEGRATED PRACTICE INC | NC | Physician Assistant (363A00000X) |
United | 95024 | $8.15 | 1639598816 - YASMIN MARCANTONIO | 562070036 - DUKE UNIVERSITY HEALTH SYSTEM INC | TX | Internal Medicine Physician (207R00000X) |
United | 95024 | $16.51 | 1891758330 - MICHAEL COMSTOCK | 862109896 - DUKE HEALTH INTEGRATED PRACTICE INC | NC | Orthopaedic Surgery Physician (207X00000X) |
United | 95024 | $18.22 | 1871551960 - CHRISTOPHER PETERSON | 562070036 - DUKE UNIVERSITY HEALTH SYSTEM INC | MN | Certified Registered Nurse Anesthetist (367500000X) |
United | 95024 | $18.22 | 1174609812 - SUSAN TOMSO | 562070036 - DUKE UNIVERSITY HEALTH SYSTEM INC | NC | Certified Registered Nurse Anesthetist (367500000X) |
United | 95024 | $16.51 | 1417262080 - JAMES RONALD | 862109896 - DUKE HEALTH INTEGRATED PRACTICE INC | NC | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 95024 | $18.22 | 1902018591 - MARY-NEL SAARLOOS | 562070036 - DUKE UNIVERSITY HEALTH SYSTEM INC | NC | Internal Medicine Physician (207R00000X) |
United | 95024 | $16.51 | 1902980063 - ADRIAN HERNANDEZ | 862109896 - DUKE HEALTH INTEGRATED PRACTICE INC | NC | Cardiovascular Disease Physician (207RC0000X) |
United | 95024 | $18.22 | 1023553096 - KRISTINA BULLOCK | 562070036 - DUKE UNIVERSITY HEALTH SYSTEM INC | NC | Physician Assistant (363A00000X) |
United | 95024 | $16.51 | 1326630377 - RACHELLE THOMASSON | 862109896 - DUKE HEALTH INTEGRATED PRACTICE INC | NC | Adult Health Nurse Practitioner (363LA2200X) |
United | 95024 | $16.51 | 1851799225 - CARMEN LEDESMA | 862109896 - DUKE HEALTH INTEGRATED PRACTICE INC | NC | Physician Assistant (363A00000X) |
United | 95024 | $8.15 | 1205163045 - DEBORAH SMITH | 562070036 - DUKE UNIVERSITY HEALTH SYSTEM INC | NC | Family Nurse Practitioner (363LF0000X) |
United | 95024 | $16.51 | 1417074204 - JUNEKO GRILLEY-OLSON | 862109896 - DUKE HEALTH INTEGRATED PRACTICE INC | NC | Hematology & Oncology Physician (207RH0003X) |
United | 95024 | $16.51 | 1275709149 - DEEPAK VOORA | 862109896 - DUKE HEALTH INTEGRATED PRACTICE INC | NC | Cardiovascular Disease Physician (207RC0000X) |
United | 95024 | $8.15 | 1558864231 - AMY KLINEPETER | 562070036 - DUKE UNIVERSITY HEALTH SYSTEM INC | SC | Physical Therapist (225100000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 95024 vs. Other Allergy and Clinical Immunology Procedures Codes
The CPT 95024 code is part of the Medicine Services and Procedures services used for Allergy and Clinical Immunology Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 95024 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 95004-CPT | Low | Percutaneous Tests (Scratch Puncture Prick) Withallergenic Extracts Immediate Type Reaction Including Test Interpretation And Report Specify Number Of Tests (Revised 01/01/13) |
| 95017-CPT | Low | Allergy Testing Any Combination Of Percutaneous (Scratch Puncture Prick) And Intracutaneous (Intradermal) Sequential And Incremental With Venoms Immediate Type Reaction Including Test Interpretation And Report Specify Number Of Tests(Reinstated) Sensitivity Skin Tests 11-15 (Intradermal) (Old Description Deleted 03/31/2003) |
| 95018-CPT | Low | Allergy Testing Any Combination Of Percutaneous (Scratch Puncture Prick) And Intracutaneous (Intradermal) Sequential And Incremental With Drugs Or Biologicals Immediate Type Reaction Including Test Interpretation And Report Specify Number Of Tests (Reinstated) Sensitivity Skin Tests 15+ (Intradermal) (Old Description Deleted 03/31/2003) |
| 95024-CPT | Low | Intracutaneous (Intradermal) Tests With Allergenicextracts Immediate Type Reaction Including Test Interpretation And Report Specify Number Of Test (Revised 01/01/13) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95024. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95024 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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