CPT code 94011: Infant spirometry, age 2 years or younger2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $77.32 for 94011 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 94011 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 94011 covers

94011 represents pulmonary function testing adapted for infants who cannot reliably perform routine spirometry maneuvers. The test produces a graphic record and measurements of vital capacity and expiratory flow using techniques and equipment suited to a child age 2 or younger. It is typically performed by a pulmonary function laboratory or pediatric pulmonary service in an outpatient clinic or hospital when evaluating respiratory symptoms such as wheezing or suspected obstructive disease.

Choose this code based on the patient’s age and the infant spirometry performed, not simply because a young child had a breathing assessment. Document the indication, the child’s age, the testing method, and the resulting curves or measurements. Report additional infant lung-volume or enhanced spirometry services only when those distinct procedures are performed and documented. CMS values the service through physician-work, practice-expense, and malpractice inputs; use the applicable fee schedule rate for the claim’s payment context.

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 Washington, DC area compares for 94011

Across 109 of 109 payment localities, the facility rate for 94011 runs from $68.71 in Arkansas to $99.78 in Alaska. Washington, DC area pays $77.32. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

94011 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 94011 in every payment locality

How the 94011 rate is calculated

Each of 94011’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.

Payment rules and modifiers for 94011

94011 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Codes related to 94011

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 94011 has changed in Washington, DC area

Price 94011 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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

Open CMS sourceHow we calculate rates