CPT code 94010: Spirometry, no post-bronchodilator comparison2026 Medicare rate & RVUs in Alabama
Standard spirometry records forced vital capacity, timed expiratory flow, and a tracing when no pre- and post-bronchodilator response study is performed.
In Alabama, Medicare pays $26.51 for 94010 in the office.
Check a contract rate as a % of Medicare · 94010 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 94010 covers
The patient inhales fully and then exhales as hard and as long as possible into a spirometer. The test records forced vital capacity, FEV1, the FEV1/FVC ratio, and expiratory flow rates, with a volume-time or flow-volume tracing. Maximal voluntary ventilation may also be measured as part of the service. Respiratory therapists, pulmonary function technologists, or trained office staff perform testing in pulmonary and primary care offices, hospital pulmonary function labs, and occupational health clinics. A pulmonologist or other qualified clinician interprets the results. Common uses include COPD and asthma evaluation, preoperative assessment, and monitoring of known restrictive lung disease.
Report one unit for a standard spirometry study; repeated efforts to obtain acceptable results are part of that study. If spirometry is repeated after an administered bronchodilator to assess response, report the response study instead. Documentation should include tracings, effort quality and reproducibility, measured and predicted values, and a signed interpretation. CMS prices the professional and technical components separately: modifier 26 identifies interpretation, while modifier TC identifies equipment and staff services. An entity furnishing both components reports the global service without a component modifier.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Alabama compares for 94010
Across 109 of 109 payment localities, the office rate for 94010 runs from $26.11 in Arkansas to $40.38 in San Benito County, CA. Alabama pays $26.51. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Alabama · this page$26.51
- Los Angeles, CA · California$34.01+$7.50
- Washington, DC area · District of Columbia$34.27+$7.76
- Miami, FL · Florida$31.71+$5.20
- Chicago, IL · Illinois$30.75+$4.24
- Manhattan, NY · New York$34.27+$7.76
- Alaska · Alaska$33.79+$7.28
Other areas in Alabama first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $26.11 | — |
| ArizonaArizona | $28.91 | — |
| Bakersfield, CACalifornia | $31.82 | — |
| Chico, CACalifornia | $31.76 | — |
| El Centro, CACalifornia | $31.76 | — |
| Fresno, CACalifornia | $31.76 | — |
| Hanford, CACalifornia | $31.76 | — |
| Madera, CACalifornia | $31.76 | — |
| Merced, CACalifornia | $31.76 | — |
| Modesto, CACalifornia | $31.76 | — |
| Napa, CACalifornia | $37.19 | — |
| Oxnard, CACalifornia | $33.89 | — |
| Redding, CACalifornia | $31.76 | — |
| Rest of CaliforniaCalifornia | $31.76 | — |
| Riverside, CACalifornia | $31.98 | — |
| Sacramento, CACalifornia | $33.43 | — |
| Salinas, CACalifornia | $33.31 | — |
| San Diego, CACalifornia | $34.17 | — |
| Marin County, CACalifornia | $39.49 | — |
| San Francisco, CACalifornia | $39.47 | — |
| San Benito County, CACalifornia | $40.38 | — |
| Santa Clara County, CACalifornia | $40.28 | — |
| San Luis Obispo, CACalifornia | $32.76 | — |
| Santa Cruz, CACalifornia | $34.56 | — |
| Santa Maria, CACalifornia | $33.46 | — |
| Santa Rosa, CACalifornia | $34.92 | — |
| Stockton, CACalifornia | $31.76 | — |
| Vallejo, CACalifornia | $37.16 | — |
| Visalia, CACalifornia | $31.76 | — |
| Yuba City, CACalifornia | $31.76 | — |
| ColoradoColorado | $31.15 | — |
| ConnecticutConnecticut | $31.78 | — |
| DelawareDelaware | $29.41 | — |
| Fort Lauderdale, FLFlorida | $30.57 | — |
| Rest of FloridaFlorida | $29.03 | — |
| Atlanta, GAGeorgia | $30.25 | — |
| Rest of GeorgiaGeorgia | $27.33 | — |
| Hawaii, Guam, HIHawaii | $32.65 | — |
| IowaIowa | $27.34 | — |
| IdahoIdaho | $27.50 | — |
| East St. Louis, ILIllinois | $28.53 | — |
| Rest of IllinoisIllinois | $28.07 | — |
| Suburban Chicago, ILIllinois | $30.91 | — |
| IndianaIndiana | $27.68 | — |
| KansasKansas | $27.15 | — |
| KentuckyKentucky | $27.07 | — |
| New Orleans, LALouisiana | $28.44 | — |
| Rest of LouisianaLouisiana | $27.01 | — |
| Metropolitan Boston, MAMassachusetts | $34.42 | — |
| Rest of MassachusettsMassachusetts | $30.92 | — |
| Baltimore area, MDMaryland | $31.68 | — |
| Rest of MarylandMaryland | $30.01 | — |
| Rest of MaineMaine | $27.60 | — |
| Southern Maine, MEMaine | $29.27 | — |
| Detroit, MIMichigan | $29.37 | — |
| Rest of MichiganMichigan | $27.78 | — |
| MinnesotaMinnesota | $29.93 | — |
| Metropolitan Kansas City, MOMissouri | $28.29 | — |
| Metropolitan St. Louis, MOMissouri | $28.61 | — |
| Rest of MissouriMissouri | $26.48 | — |
| MississippiMississippi | $26.30 | — |
| MontanaMontana | $29.73 | — |
| North CarolinaNorth Carolina | $27.92 | — |
| North DakotaNorth Dakota | $29.33 | — |
| NebraskaNebraska | $27.51 | — |
| New HampshireNew Hampshire | $30.60 | — |
| Northern New JerseyNew Jersey | $33.87 | — |
| Rest of New JerseyNew Jersey | $32.17 | — |
| New MexicoNew Mexico | $27.92 | — |
| NevadaNevada | $29.64 | — |
| NYC suburbs and Long Island, NYNew York | $35.08 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $32.34 | — |
| Queens, NYNew York | $34.64 | — |
| Rest of New YorkNew York | $28.36 | — |
| OhioOhio | $27.70 | — |
| OklahomaOklahoma | $27.08 | — |
| Portland, OROregon | $32.24 | — |
| Rest of OregonOregon | $29.43 | — |
| Metropolitan Philadelphia, PAPennsylvania | $30.92 | — |
| Rest of PennsylvaniaPennsylvania | $27.77 | — |
| Puerto RicoPuerto Rico | $29.97 | — |
| Rhode IslandRhode Island | $30.53 | — |
| South CarolinaSouth Carolina | $27.85 | — |
| South DakotaSouth Dakota | $29.28 | — |
| TennesseeTennessee | $27.29 | — |
| Austin, TXTexas | $31.02 | — |
| Beaumont, TXTexas | $27.58 | — |
| Brazoria, TXTexas | $29.41 | — |
| Dallas, TXTexas | $29.59 | — |
| Fort Worth, TXTexas | $29.36 | — |
| Galveston, TXTexas | $29.49 | — |
| Houston, TXTexas | $29.86 | — |
| Rest of TexasTexas | $28.47 | — |
| UtahUtah | $28.26 | — |
| VirginiaVirginia | $29.13 | — |
| Virgin Islands, VIUnited States Virgin Islands | $29.97 | — |
| VermontVermont | $29.16 | — |
| Rest of WashingtonWashington | $30.88 | — |
| King County, WAWashington | $35.20 | — |
| WisconsinWisconsin | $28.28 | — |
| West VirginiaWest Virginia | $26.95 | — |
| WyomingWyoming | $29.55 | — |
94010 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$26.11
$36.07
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $33.79 | 1 |
| AL | $26.51 | 1 |
| AR | $26.11 | 1 |
| AZ | $28.91 | 1 |
| CA | $31.76–$40.38 | 29 |
| CO | $31.15 | 1 |
| CT | $31.78 | 1 |
| DC | $34.27 | 1 |
| DE | $29.41 | 1 |
| FL | $29.03–$31.71 | 3 |
| GA | $27.33–$30.25 | 2 |
| GU | $32.65 | 1 |
| HI | $32.65 | 1 |
| IA | $27.34 | 1 |
| ID | $27.50 | 1 |
| IL | $28.07–$30.91 | 4 |
| IN | $27.68 | 1 |
| KS | $27.15 | 1 |
| KY | $27.07 | 1 |
| LA | $27.01–$28.44 | 2 |
| MA | $30.92–$34.42 | 2 |
| MD | $30.01–$34.27 | 3 |
| ME | $27.60–$29.27 | 2 |
| MI | $27.78–$29.37 | 2 |
| MN | $29.93 | 1 |
| MO | $26.48–$28.61 | 3 |
| MS | $26.30 | 1 |
| MT | $29.73 | 1 |
| NC | $27.92 | 1 |
| ND | $29.33 | 1 |
| NE | $27.51 | 1 |
| NH | $30.60 | 1 |
| NJ | $32.17–$33.87 | 2 |
| NM | $27.92 | 1 |
| NV | $29.64 | 1 |
| NY | $28.36–$35.08 | 5 |
| OH | $27.70 | 1 |
| OK | $27.08 | 1 |
| OR | $29.43–$32.24 | 2 |
| PA | $27.77–$30.92 | 2 |
| PR | $29.97 | 1 |
| RI | $30.53 | 1 |
| SC | $27.85 | 1 |
| SD | $29.28 | 1 |
| TN | $27.29 | 1 |
| TX | $27.58–$31.02 | 8 |
| UT | $28.26 | 1 |
| VA | $29.13–$34.27 | 2 |
| VI | $29.97 | 1 |
| VT | $29.16 | 1 |
| WA | $30.88–$35.20 | 2 |
| WI | $28.28 | 1 |
| WV | $26.95 | 1 |
| WY | $29.55 | 1 |
How the 94010 rate is calculated
Each of 94010’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 94010
RVUs × geographic indexes × conversion factor
Work0.17
0.17 RVUs× 1.000 GPCI
Practice expense0.70
0.70 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
0.8900
Conversion factor
$33.4009
Medicare rate
$29.73
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Alabama inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,364
- Code
- 94010
- Physician work
- 0.17
- Practice expense
- 0.70
- Malpractice
- 0.02
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.17 | × 1.000 | 0.1700 |
| Practice expense | 0.70 | × 0.875 | 0.6125 |
| Malpractice | 0.02 | × 0.566 | 0.0113 |
| Total RVUs | 0.7938 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Alabama$26.51
Office: (0.17 × 1 + 0.7 × 0.875 + 0.02 × 0.566) × $33.4009 = $26.51
Payment rules and modifiers for 94010
The CMS indicators that decide how 94010 is paid alongside other services.
CMS payment indicators · 94010
Spirometry, no post-bronchodilator comparison
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
94010 without 26 · national office
$29.73
Spirometry, no post-bronchodilator comparison
94010-26 · Professional component
$8.35
Pays only the interpretation and report.
How 94010 has changed in Alabama
94010 · Office / nonfacility
$26.51
Effective 2026-10-01
The base rate is $2.93 higher than on 2025-10-01, moving from $23.58 to $26.51 (12.4%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$23.58changed to$26.51
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.63 changed to 0.70
- Practice expense GPCI 0.869 changed to 0.875
- Malpractice GPCI 0.575 changed to 0.566
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$24.27changed to$23.58
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$23.87changed to$24.27
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$24.42changed to$23.87
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.61 changed to 0.63
- Practice expense GPCI 0.878 changed to 0.869
- Malpractice GPCI 0.748 changed to 0.575
January 1, 2023
RVU23A
$24.96changed to$24.42
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.60 changed to 0.61
- Practice expense GPCI 0.888 changed to 0.878
- Malpractice GPCI 0.921 changed to 0.748
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$27.33changed to$24.96
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.67 changed to 0.60
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$32.63changed to$27.33
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.81 changed to 0.67
- Practice expense GPCI 0.889 changed to 0.888
- Malpractice GPCI 0.707 changed to 0.921
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$32.46changed to$32.63
- Conversion factor 36.0391 changed to 36.0896
- Practice expense GPCI 0.890 changed to 0.889
- Malpractice GPCI 0.492 changed to 0.707
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$33.07changed to$32.46
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.83 changed to 0.81
Held through RVU19B, RVU19C, RVU19D.
April 1, 2018
RVU18B
No ratechanged to$33.07
Held through RVU18C, RVU18D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $26.51 | Not available in this setting | RVU26D |
| 2026-07-01 | $26.51 | Not available in this setting | RVU26C |
| 2026-04-01 | $26.51 | Not available in this setting | RVU26B |
| 2026-01-01 | $26.51 | Not available in this setting | RVU26A |
| 2025-10-01 | $23.58 | Not available in this setting | RVU25D |
| 2025-07-01 | $23.58 | Not available in this setting | RVU25C |
| 2025-04-01 | $23.58 | Not available in this setting | RVU25B |
| 2025-01-01 | $23.58 | Not available in this setting | RVU25A |
| 2024-10-01 | $24.27 | Not available in this setting | RVU24D |
| 2024-07-01 | $24.27 | Not available in this setting | RVU24C |
| 2024-04-01 | $24.27 | Not available in this setting | RVU24B |
| 2024-03-09 | $24.27 | Not available in this setting | RVU24AR |
| 2024-01-01 | $23.87 | Not available in this setting | RVU24A |
| 2023-10-01 | $24.42 | Not available in this setting | RVU23D |
| 2023-07-01 | $24.42 | Not available in this setting | RVU23C |
| 2023-04-01 | $24.42 | Not available in this setting | RVU23B |
| 2023-01-01 | $24.42 | Not available in this setting | RVU23A |
| 2022-10-01 | $24.96 | Not available in this setting | RVU22D |
| 2022-07-01 | $24.96 | Not available in this setting | RVU22C |
| 2022-04-01 | $24.96 | Not available in this setting | RVU22B |
| 2022-01-01 | $24.96 | Not available in this setting | RVU22A |
| 2021-10-01 | $27.33 | Not available in this setting | RVU21D |
| 2021-07-01 | $27.33 | Not available in this setting | RVU21C |
| 2021-04-01 | $27.33 | Not available in this setting | RVU21B |
| 2021-01-01 | $27.33 | Not available in this setting | RVU21A |
| 2020-10-01 | $32.63 | Not available in this setting | RVU20D |
| 2020-07-01 | $32.63 | Not available in this setting | RVU20C |
| 2020-04-01 | $32.63 | Not available in this setting | RVU20B |
| 2020-01-01 | $32.63 | Not available in this setting | RVU20A |
| 2019-10-01 | $32.46 | Not available in this setting | RVU19D |
| 2019-07-01 | $32.46 | Not available in this setting | RVU19C |
| 2019-04-01 | $32.46 | Not available in this setting | RVU19B |
| 2019-01-01 | $32.46 | Not available in this setting | RVU19A |
| 2018-10-01 | $33.07 | Not available in this setting | RVU18D |
| 2018-07-01 | $33.07 | Not available in this setting | RVU18C |
| 2018-04-01 | $33.07 | Not available in this setting | RVU18B |
| 2018-01-01 | Rate data unavailable | Not available in this setting | RVU18AR1 |
| 2017-10-01 | Rate data unavailable | Not available in this setting | RVU17D |
| 2017-07-01 | Rate data unavailable | Not available in this setting | RVU17C |
| 2017-04-01 | Rate data unavailable | Not available in this setting | RVU17B |
| 2017-01-01 | Rate data unavailable | Not available in this setting | RVU17A |
| 2016-10-01 | Rate data unavailable | Not available in this setting | RVU16D |
| 2016-07-01 | Rate data unavailable | Not available in this setting | RVU16C |
| 2016-04-01 | Rate data unavailable | Not available in this setting | RVU16B |
| 2016-01-01 | Rate data unavailable | Not available in this setting | RVU16A |
| 2015-10-01 | Rate data unavailable | Not available in this setting | RVU15D |
| 2015-07-01 | Rate data unavailable | Not available in this setting | RVU15C |
| 2015-04-01 | Rate data unavailable | Not available in this setting | RVU15B |
| 2015-01-01 | Rate data unavailable | Not available in this setting | RVU15A |
| 2014-10-01 | Rate data unavailable | Not available in this setting | RVU14D |
| 2014-07-01 | Rate data unavailable | Not available in this setting | RVU14C |
| 2014-04-01 | Rate data unavailable | Not available in this setting | RVU14B |
| 2014-01-01 | Rate data unavailable | Not available in this setting | RVU14A |
| 2013-10-01 | Rate data unavailable | Not available in this setting | RVU13D |
| 2013-07-01 | Rate data unavailable | Not available in this setting | RVU13C |
| 2013-04-01 | Rate data unavailable | Not available in this setting | RVU13B |
| 2013-01-01 | Rate data unavailable | Not available in this setting | RVU13AR |
Where the Alabama rate applies
Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.
- Abanda
- Abbeville
- Adamsville
- Addison
- Akron
- Alabaster
- Albertville
- Alexander City
94010 billing questions
Can 94010 be billed with 94060 on the same date?
Do not report 94010 for the baseline measurements included in the same pre- and post-bronchodilator study. Report 94060 for that study.
When should modifier 26 or TC be appended?
Use modifier 26 for interpretation only, such as when a physician interprets a test performed in a hospital pulmonary function lab. Modifier TC identifies the equipment and staff portion when that component is billed separately.
Is maximal voluntary ventilation billed separately?
No. Maximal voluntary ventilation is included in 94010 when performed as part of the spirometry study.
Can DLCO be added to spirometry?
Yes. When diffusing capacity is measured with the spirometry study, report add-on code 94729 with 94010.
What documentation supports the interpretation component?
The written report should address test quality and acceptability, compare results with predicted values, and state a clinical impression. Raw printouts without a signed interpretation do not support modifier 26.
Which code is used for spirometry in a toddler?
Code 94011 describes infant spirometry for children through 2 years of age. Code 94010 describes standard spirometry using the patient's own forced expiratory effort.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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