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CPT 95017: Allergy Skin Testing (Prick, Scratch, Intradermal, Venom)
CPT code 95017 denotes comprehensive allergy skin testing using any combination of scratch, puncture, prick, and intradermal techniques, performed sequentially and incrementally and including venom testing. This procedure is a core diagnostic tool in allergy and immunology, guiding clinical management for allergic rhinitis, insect venom hypersensitivity, food allergy evaluation, and other IgE-mediated conditions. Nationally, standardized reporting of this service supports clinical decision-making and affects outpatient allergy clinic workflows and billing practices.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of what CPT code 95017 represents, the typical clinical and site-of-service context, and what to expect from payer coverage patterns. The publication summarizes benchmarks where available, highlights relevant policy considerations for outpatient allergy testing, and situates the code within clinical pathways for diagnostic allergy evaluation. Practical information on common modifiers, related codes, and documentation considerations is provided in separate sections. Data not available in the input will be noted where applicable.
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Billing Code Overview
CPT code 95017 covers allergy testing performed using any combination of techniques, including scratch, puncture, prick, and intradermal tests, conducted in a sequential and incremental manner. The description explicitly includes testing for venoms.
Service type: Allergy diagnostic testing — skin testing for allergic sensitization using sequential/per-mutational methods.
Typical site of service: Outpatient clinic or office-based allergy/immunology setting, including physician offices or specialized allergy clinics where sequential skin testing is performed.
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