CPT code 94012: Infant spirometry, with bronchodilator2026 Medicare rate & RVUs in Mississippi

Reports spirometry before and after bronchodilator administration for a patient age two years or younger when response testing is performed.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Mississippi, Medicare pays $113.16 for 94012 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$113.16Hospital or facility

Check a contract rate as a % of Medicare · 94012 nationwide

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

We’ll open 94012 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 94012 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 94012 covers

This service measures airflow in a patient age two years or younger before and after a bronchodilator is given. It is typically performed in a pediatric pulmonary function laboratory or specialty setting by trained pulmonary testing staff, with a physician interpreting the results. The measurements help assess airflow limitation and whether it changes after medication; the patient's young age makes this a distinct service from routine spirometry used for older patients.

Select this code when the documented service includes both the baseline spirometry and post-bronchodilator measurements. The record should support the patient's age, the medication administration, and the testing performed before and after it. Do not separately report the baseline-only infant spirometry code for the same pre- and post-medication testing service. CMS assigns physician-work, practice-expense, and malpractice relative values to this service.

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 Mississippi compares for 94012

Across 109 of 109 payment localities, the facility rate for 94012 runs from $111.85 in Arkansas to $162.33 in Alaska. Mississippi pays $113.16. The RVUs are the same everywhere; the geographic indexes change the dollars.

94012 in Mississippi vs other payment areas
  1. Mississippi · this page$113.16
  2. Los Angeles, CA · California$122.56+$9.40
  3. Washington, DC area · District of Columbia$126.22+$13.06
  4. Miami, FL · Florida$126.69+$13.53
  5. Chicago, IL · Illinois$125.33+$12.17
  6. Manhattan, NY · New York$129.54+$16.38
  7. Alaska · Alaska$162.33+$49.17

Other areas in Mississippi first, then benchmark localities. Bars start at $0.

Every other payment area

94012 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$112.43
ArkansasArkansas—$111.85
ArizonaArizona—$115.84
Bakersfield, CACalifornia—$118.58
Chico, CACalifornia—$117.98
El Centro, CACalifornia—$118.01
Fresno, CACalifornia—$117.98
Hanford, CACalifornia—$117.98

94012 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.

View every state and territory as a table
94012 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 94012 in every payment locality

How the 94012 rate is calculated

Each of 94012’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 · 94012

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.78

2.78 RVUs× 1.000 GPCI

Practice expense0.56

0.56 RVUs× 1.000 GPCI

Malpractice0.17

0.17 RVUs× 1.000 GPCI

Adjusted RVUs

3.5100

Conversion factor

$33.4009

Medicare rate

$117.24

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,368

Code
94012
Physician work
2.78
Practice expense
0.56
Malpractice
0.17

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Facility calculation for 94012 in Mississippi
ComponentRVULocality factorAdjusted
Physician work2.78× 1.0002.7800
Practice expense0.56× 0.8610.4822
Malpractice0.17× 0.7390.1256
Total RVUs3.3878
Conversion factor× 33.4009

Facility rate, Mississippi$113.16

Facility: (2.78 × 1 + 0.56 × 0.861 + 0.17 × 0.739) × $33.4009 = $113.16

Open 94012 in the RVU calculator

Payment rules and modifiers for 94012

94012 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.

Place of service · 94012

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

—

94012 isn’t priced in this setting.

How 94012 has changed in Mississippi

94012 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$113.16RVU26D
2026-07-01Not available in this setting$113.16RVU26C
2026-04-01Not available in this setting$113.16RVU26B
2026-01-01Not available in this setting$113.16RVU26A
2025-10-01Not available in this setting$125.54RVU25D
2025-07-01Not available in this setting$125.54RVU25C
2025-04-01Not available in this setting$125.54RVU25B
2025-01-01Not available in this setting$125.54RVU25A
2024-10-01Not available in this setting$129.76RVU24D
2024-07-01Not available in this setting$129.76RVU24C
2024-04-01Not available in this setting$129.76RVU24B
2024-03-09Not available in this setting$129.76RVU24AR
2024-01-01Not available in this setting$127.64RVU24A
2023-10-01Not available in this setting$130.78RVU23D
2023-07-01Not available in this setting$130.78RVU23C
2023-04-01Not available in this setting$130.78RVU23B
2023-01-01Not available in this setting$130.78RVU23A
2022-10-01Not available in this setting$134.16RVU22D
2022-07-01Not available in this setting$134.16RVU22C
2022-04-01Not available in this setting$134.16RVU22B
2022-01-01Not available in this setting$134.16RVU22A
2021-10-01Not available in this setting$133.86RVU21D
2021-07-01Not available in this setting$133.86RVU21C
2021-04-01Not available in this setting$133.86RVU21B
2021-01-01Not available in this setting$133.86RVU21A
2020-10-01Not available in this setting$136.51RVU20D
2020-07-01Not available in this setting$136.51RVU20C
2020-04-01Not available in this setting$136.51RVU20B
2020-01-01Not available in this setting$136.51RVU20A
2019-10-01Not available in this setting$135.84RVU19D
2019-07-01Not available in this setting$135.84RVU19C
2019-04-01Not available in this setting$135.97RVU19B
2019-01-01Not available in this setting$135.97RVU19A
2018-10-01Not available in this setting$136.00RVU18D
2018-07-01Not available in this setting$136.00RVU18C
2018-04-01Not available in this setting$136.00RVU18B
2018-01-01Not available in this setting$136.00RVU18AR1
2017-10-01Not available in this setting$142.00RVU17D
2017-07-01Not available in this setting$142.00RVU17C
2017-04-01Not available in this setting$142.00RVU17B
2017-01-01Not available in this setting$142.00RVU17A
2016-10-01Not available in this setting$151.32RVU16D
2016-07-01Not available in this setting$151.32RVU16C
2016-04-01Not available in this setting$151.32RVU16B
2016-01-01Not available in this setting$151.32RVU16A
2015-10-01Not available in this setting$158.59RVU15D
2015-07-01Not available in this setting$158.59RVU15C
2015-04-01Not available in this setting$157.80RVU15B
2015-01-01Not available in this setting$157.80RVU15A
2014-10-01Not available in this setting$154.27RVU14D
2014-07-01Not available in this setting$154.27RVU14C
2014-04-01Not available in this setting$154.27RVU14B
2014-01-01Not available in this setting$154.27RVU14A
2013-10-01Not available in this setting$148.55RVU13D
2013-07-01Not available in this setting$148.55RVU13C
2013-04-01Not available in this setting$148.55RVU13B
2013-01-01Not available in this setting$148.55RVU13AR

Price 94012 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

94012 billing questions

When should 94012 be chosen instead of 94011?

Use 94012 when spirometry is performed before and after a bronchodilator for a patient age two years or younger. Use 94011 for the applicable age group when the service is spirometry without bronchodilator testing.

Can baseline spirometry be reported separately with 94012?

The baseline measurements are part of the pre- and post-bronchodilator service represented by 94012. Do not separately report 94011 for that same testing.

What documentation supports reporting 94012?

Document the patient's age, the spirometry measurements, the bronchodilator administered, and measurements obtained after administration. The record should show that both phases of testing were performed.

Is 94012 the right code for an older child receiving bronchodilator spirometry?

No. This code is limited to patients age two years or younger; 94060 is the related pre- and post-bronchodilator spirometry code commonly considered for older patients.

Does 94012 describe an infant lung-volume measurement?

No. It describes spirometry with bronchodilator testing. Code 94013 is the related infant service for lung-volume measurement.

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
RVUs for 94012PPRRVU2026_Oct_nonQPP.csv, line 12,368 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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