CPT code 94010: Spirometry, no post-bronchodilator comparison2026 Medicare rate & RVUs in Idaho
Standard spirometry records forced vital capacity, timed expiratory flow, and a tracing when no pre- and post-bronchodilator response study is performed.
In Idaho, Medicare pays $27.50 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 Idaho 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. Idaho pays $27.50. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Idaho · this page$27.50
- Los Angeles, CA · California$34.01+$6.51
- Washington, DC area · District of Columbia$34.27+$6.77
- Miami, FL · Florida$31.71+$4.21
- Chicago, IL · Illinois$30.75+$3.25
- Manhattan, NY · New York$34.27+$6.77
- Alaska · Alaska$33.79+$6.29
Other areas in Idaho first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $26.51 | — |
| 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 | — |
| 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 Idaho 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
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.17 | × 1.000 | 0.1700 |
| Practice expense | 0.70 | × 0.920 | 0.6440 |
| Malpractice | 0.02 | × 0.473 | 0.0095 |
| Total RVUs | 0.8235 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Idaho$27.50
Office: (0.17 × 1 + 0.7 × 0.92 + 0.02 × 0.473) × $33.4009 = $27.50
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 Idaho
94010 · Office / nonfacility
$27.50
Effective 2026-10-01
The base rate is $3.20 higher than on 2025-10-01, moving from $24.30 to $27.50 (13.2%).
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
$24.30changed to$27.50
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.63 changed to 0.70
- Practice expense GPCI 0.908 changed to 0.920
- Malpractice GPCI 0.461 changed to 0.473
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$25.01changed to$24.30
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$24.60changed to$25.01
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$24.52changed to$24.60
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.61 changed to 0.63
- Practice expense GPCI 0.893 changed to 0.908
- Malpractice GPCI 0.439 changed to 0.461
January 1, 2023
RVU23A
$24.38changed to$24.52
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.60 changed to 0.61
- Practice expense GPCI 0.877 changed to 0.893
- Malpractice GPCI 0.416 changed to 0.439
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$26.72changed to$24.38
- 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
$32.49changed to$26.72
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.81 changed to 0.67
- Practice expense GPCI 0.890 changed to 0.877
- Malpractice GPCI 0.464 changed to 0.416
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$32.83changed to$32.49
- Conversion factor 36.0391 changed to 36.0896
- Practice expense GPCI 0.902 changed to 0.890
- Malpractice GPCI 0.512 changed to 0.464
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$33.44changed to$32.83
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.83 changed to 0.81
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$32.95changed to$33.44
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.82 changed to 0.83
- Practice expense GPCI 0.900 changed to 0.902
- Malpractice GPCI 0.510 changed to 0.512
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$33.14changed to$32.95
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.83 changed to 0.82
- Practice expense GPCI 0.898 changed to 0.900
- Malpractice GPCI 0.508 changed to 0.510
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$33.26changed to$33.14
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$33.09changed to$33.26
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$32.81changed to$33.09
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.82 changed to 0.83
- Practice expense GPCI 0.896 changed to 0.898
- Malpractice GPCI 0.556 changed to 0.508
Held through RVU15B.
January 1, 2014
RVU14A
$33.87changed to$32.81
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.91 changed to 0.82
- Practice expense GPCI 0.894 changed to 0.896
- Malpractice GPCI 0.603 changed to 0.556
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $33.87
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $27.50 | Not available in this setting | RVU26D |
| 2026-07-01 | $27.50 | Not available in this setting | RVU26C |
| 2026-04-01 | $27.50 | Not available in this setting | RVU26B |
| 2026-01-01 | $27.50 | Not available in this setting | RVU26A |
| 2025-10-01 | $24.30 | Not available in this setting | RVU25D |
| 2025-07-01 | $24.30 | Not available in this setting | RVU25C |
| 2025-04-01 | $24.30 | Not available in this setting | RVU25B |
| 2025-01-01 | $24.30 | Not available in this setting | RVU25A |
| 2024-10-01 | $25.01 | Not available in this setting | RVU24D |
| 2024-07-01 | $25.01 | Not available in this setting | RVU24C |
| 2024-04-01 | $25.01 | Not available in this setting | RVU24B |
| 2024-03-09 | $25.01 | Not available in this setting | RVU24AR |
| 2024-01-01 | $24.60 | Not available in this setting | RVU24A |
| 2023-10-01 | $24.52 | Not available in this setting | RVU23D |
| 2023-07-01 | $24.52 | Not available in this setting | RVU23C |
| 2023-04-01 | $24.52 | Not available in this setting | RVU23B |
| 2023-01-01 | $24.52 | Not available in this setting | RVU23A |
| 2022-10-01 | $24.38 | Not available in this setting | RVU22D |
| 2022-07-01 | $24.38 | Not available in this setting | RVU22C |
| 2022-04-01 | $24.38 | Not available in this setting | RVU22B |
| 2022-01-01 | $24.38 | Not available in this setting | RVU22A |
| 2021-10-01 | $26.72 | Not available in this setting | RVU21D |
| 2021-07-01 | $26.72 | Not available in this setting | RVU21C |
| 2021-04-01 | $26.72 | Not available in this setting | RVU21B |
| 2021-01-01 | $26.72 | Not available in this setting | RVU21A |
| 2020-10-01 | $32.49 | Not available in this setting | RVU20D |
| 2020-07-01 | $32.49 | Not available in this setting | RVU20C |
| 2020-04-01 | $32.49 | Not available in this setting | RVU20B |
| 2020-01-01 | $32.49 | Not available in this setting | RVU20A |
| 2019-10-01 | $32.83 | Not available in this setting | RVU19D |
| 2019-07-01 | $32.83 | Not available in this setting | RVU19C |
| 2019-04-01 | $32.83 | Not available in this setting | RVU19B |
| 2019-01-01 | $32.83 | Not available in this setting | RVU19A |
| 2018-10-01 | $33.44 | Not available in this setting | RVU18D |
| 2018-07-01 | $33.44 | Not available in this setting | RVU18C |
| 2018-04-01 | $33.44 | Not available in this setting | RVU18B |
| 2018-01-01 | $33.44 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $32.95 | Not available in this setting | RVU17D |
| 2017-07-01 | $32.95 | Not available in this setting | RVU17C |
| 2017-04-01 | $32.95 | Not available in this setting | RVU17B |
| 2017-01-01 | $32.95 | Not available in this setting | RVU17A |
| 2016-10-01 | $33.14 | Not available in this setting | RVU16D |
| 2016-07-01 | $33.14 | Not available in this setting | RVU16C |
| 2016-04-01 | $33.14 | Not available in this setting | RVU16B |
| 2016-01-01 | $33.14 | Not available in this setting | RVU16A |
| 2015-10-01 | $33.26 | Not available in this setting | RVU15D |
| 2015-07-01 | $33.26 | Not available in this setting | RVU15C |
| 2015-04-01 | $33.09 | Not available in this setting | RVU15B |
| 2015-01-01 | $33.09 | Not available in this setting | RVU15A |
| 2014-10-01 | $32.81 | Not available in this setting | RVU14D |
| 2014-07-01 | $32.81 | Not available in this setting | RVU14C |
| 2014-04-01 | $32.81 | Not available in this setting | RVU14B |
| 2014-01-01 | $32.81 | Not available in this setting | RVU14A |
| 2013-10-01 | $33.87 | Not available in this setting | RVU13D |
| 2013-07-01 | $33.87 | Not available in this setting | RVU13C |
| 2013-04-01 | $33.87 | Not available in this setting | RVU13B |
| 2013-01-01 | $33.87 | Not available in this setting | RVU13AR |
Where the Idaho rate applies
Idaho is a Medicare payment area, not a city. Our Census mapping connects it to 235 cities and communities in Idaho. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Acequia
- Albion
- American Falls
- Ammon
- Arbon Valley
- Arco
- Arimo
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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