95144 Antigen therapy services
What 95144 is
CMS fee schedule short descriptor: Antigen therapy services.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 95144 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 0.06 | 0.56 | 0.01 | 0.63 | $21.04 |
| Facility (hospital, ASC) | 0.06 | 0.01 | 0.01 | 0.08 | $2.67 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.
Medically Unlikely Edit (MUE)
Medicare caps 95144 at 30 units per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Clinical: Data. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 95144? These codes are bundled into it
95144 is a Column 1 code in 194 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
0591T | Hlth&wb coaching indiv 1st | 1 - modifier may bypass | Check pair |
0592T | Hlth&wb coaching indiv f-up | 1 - modifier may bypass | Check pair |
0593T | Hlth&wb coaching group | 1 - modifier may bypass | Check pair |
0708T | Id ca immntx prep & 1st njx | 1 - modifier may bypass | Check pair |
0709T | Id ca immntx each addl njx | 1 - modifier may bypass | Check pair |
0776T | Ther indctj ntrabrn hypthrm | 1 - modifier may bypass | Check pair |
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
95004 | Perq tests w/alrgnc xtrcs | 1 - modifier may bypass | Check pair |
95017 | All tstg perq&iq w/venoms | 1 - modifier may bypass | Check pair |
95018 | All tstg perq&iq drugs/biol | 1 - modifier may bypass | Check pair |
95024 | Iq tests w/allergenic xtrcs | 1 - modifier may bypass | Check pair |
95027 | Iq tsts seql&incrl airborne | 1 - modifier may bypass | Check pair |
95028 | Iq tsts allergy delayed rxn | 1 - modifier may bypass | Check pair |
95044 | Patch/application tests | 1 - modifier may bypass | Check pair |
95052 | Photo patch tests | 1 - modifier may bypass | Check pair |
95056 | Photo tests | 1 - modifier may bypass | Check pair |
95060 | Oph mucous membrane tests | 1 - modifier may bypass | Check pair |
95065 | Dir nsl mucous membrane test | 1 - modifier may bypass | Check pair |
95070 | Inhlj brncl challenge tstg | 1 - modifier may bypass | Check pair |
95076 | Ingest challenge ini 120 min | 1 - modifier may bypass | Check pair |
95079 | Ingest challenge addl 60 min | 1 - modifier may bypass | Check pair |
96160 | Pt-focused hlth risk assmt | 1 - modifier may bypass | Check pair |
96161 | Caregiver health risk assmt | 1 - modifier may bypass | Check pair |
96360 | Hydration iv infusion init | 1 - modifier may bypass | Check pair |
96365 | Ther/proph/diag iv inf init | 1 - modifier may bypass | Check pair |
96372 | Ther/proph/diag inj sc/im | 1 - modifier may bypass | Check pair |
96374 | Ther/proph/diag inj iv push | 1 - modifier may bypass | Check pair |
96375 | Tx/pro/dx inj new drug addon | 1 - modifier may bypass | Check pair |
96376 | Tx/pro/dx inj same drug adon | 1 - modifier may bypass | Check pair |
Showing 30 of 194 column 2 codes. Use the pair checker for any specific combination.
95144 is bundled into these codes
95144 appears as a Column 2 code in 2 active edits. Reported with one of these Column 1 codes on the same date of service, 95144 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
95165 | Antigen therapy services | 1 | Check pair |
98016 | Brief comunicaj tech-bsd svc | 1 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.