CPT code 94013: Lung-volume test, through age 22026 Medicare rate & RVUs in Alaska
Reports spirometry-technique lung-volume measurement in a child through age 2 as part of an age-specific pulmonary function assessment.
In Alaska, Medicare pays $23.08 for 94013 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 94013 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 94013 covers
This service measures lung volumes using a spirometry technique in children through age 2. It is generally performed in a specialized pediatric pulmonary function laboratory by trained pulmonary function staff, such as a respiratory therapist, with physician oversight. The results help characterize pulmonary function when standard testing requiring active cooperation is not suitable for the child’s age.
Select the code when the documented service measures lung volumes, rather than only expiratory airflow or bronchodilator response. The record should support the child’s age, the spirometry technique, and the lung-volume measurements obtained. The Medicare Physician Fee Schedule represents payment through work, practice-expense, and malpractice RVUs; the practice-expense RVU listed for this code is the same in office and facility settings.
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 Alaska compares for 94013
Across 109 of 109 payment localities, the facility rate for 94013 runs from $15.88 in Arkansas to $23.08 in Alaska. Alaska pays $23.08. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Alaska · this page$23.08
- Los Angeles, CA · California$17.34−$5.74
- Washington, DC area · District of Columbia$17.95−$5.13
- Miami, FL · Florida$18.33−$4.75
- Chicago, IL · Illinois$18.10−$4.98
- Manhattan, NY · New York$18.52−$4.56
- Alabama · Alabama$15.97−$7.11
Other areas in Alaska first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | — | $15.88 |
| ArizonaArizona | — | $16.48 |
| Bakersfield, CACalifornia | — | $16.79 |
| Chico, CACalifornia | — | $16.69 |
| El Centro, CACalifornia | — | $16.69 |
| Fresno, CACalifornia | — | $16.69 |
| Hanford, CACalifornia | — | $16.69 |
| Madera, CACalifornia | — | $16.69 |
| Merced, CACalifornia | — | $16.69 |
| Modesto, CACalifornia | — | $16.69 |
| Napa, CACalifornia | — | $17.79 |
| Oxnard, CACalifornia | — | $17.12 |
| Redding, CACalifornia | — | $16.69 |
| Rest of CaliforniaCalifornia | — | $16.69 |
| Riverside, CACalifornia | — | $17.02 |
| Sacramento, CACalifornia | — | $17.10 |
| Salinas, CACalifornia | — | $17.02 |
| San Diego, CACalifornia | — | $17.10 |
| Marin County, CACalifornia | — | $18.39 |
| San Francisco, CACalifornia | — | $18.35 |
| San Benito County, CACalifornia | — | $18.74 |
| Santa Clara County, CACalifornia | — | $18.60 |
| San Luis Obispo, CACalifornia | — | $16.79 |
| Santa Cruz, CACalifornia | — | $17.02 |
| Santa Maria, CACalifornia | — | $17.00 |
| Santa Rosa, CACalifornia | — | $17.17 |
| Stockton, CACalifornia | — | $16.69 |
| Vallejo, CACalifornia | — | $17.74 |
| Visalia, CACalifornia | — | $16.69 |
| Yuba City, CACalifornia | — | $16.69 |
| ColoradoColorado | — | $16.79 |
| ConnecticutConnecticut | — | $17.36 |
| DelawareDelaware | — | $16.64 |
| Fort Lauderdale, FLFlorida | — | $17.54 |
| Rest of FloridaFlorida | — | $17.10 |
| Atlanta, GAGeorgia | — | $16.98 |
| Rest of GeorgiaGeorgia | — | $16.64 |
| Hawaii, Guam, HIHawaii | — | $16.60 |
| IowaIowa | — | $15.90 |
| IdahoIdaho | — | $15.99 |
| East St. Louis, ILIllinois | — | $17.53 |
| Rest of IllinoisIllinois | — | $17.06 |
| Suburban Chicago, ILIllinois | — | $17.63 |
| IndianaIndiana | — | $16.01 |
| KansasKansas | — | $15.98 |
| KentuckyKentucky | — | $16.36 |
| New Orleans, LALouisiana | — | $16.70 |
| Rest of LouisianaLouisiana | — | $16.39 |
| Metropolitan Boston, MAMassachusetts | — | $17.59 |
| Rest of MassachusettsMassachusetts | — | $16.83 |
| Baltimore area, MDMaryland | — | $17.32 |
| Rest of MarylandMaryland | — | $16.78 |
| Rest of MaineMaine | — | $16.13 |
| Southern Maine, MEMaine | — | $16.31 |
| Detroit, MIMichigan | — | $17.31 |
| Rest of MichiganMichigan | — | $16.63 |
| MinnesotaMinnesota | — | $16.06 |
| Metropolitan Kansas City, MOMissouri | — | $16.53 |
| Metropolitan St. Louis, MOMissouri | — | $16.59 |
| Rest of MissouriMissouri | — | $16.35 |
| MississippiMississippi | — | $16.11 |
| MontanaMontana | — | $16.70 |
| North CarolinaNorth Carolina | — | $16.18 |
| North DakotaNorth Dakota | — | $16.11 |
| NebraskaNebraska | — | $15.90 |
| New HampshireNew Hampshire | — | $16.67 |
| Northern New JerseyNew Jersey | — | $17.98 |
| Rest of New JerseyNew Jersey | — | $17.55 |
| New MexicoNew Mexico | — | $16.71 |
| NevadaNevada | — | $16.54 |
| NYC suburbs and Long Island, NYNew York | — | $18.86 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $17.73 |
| Queens, NYNew York | — | $18.42 |
| Rest of New YorkNew York | — | $16.29 |
| OhioOhio | — | $16.51 |
| OklahomaOklahoma | — | $16.23 |
| Portland, OROregon | — | $16.92 |
| Rest of OregonOregon | — | $16.39 |
| Metropolitan Philadelphia, PAPennsylvania | — | $17.23 |
| Rest of PennsylvaniaPennsylvania | — | $16.45 |
| Puerto RicoPuerto Rico | — | $16.71 |
| Rhode IslandRhode Island | — | $16.92 |
| South CarolinaSouth Carolina | — | $16.37 |
| South DakotaSouth Dakota | — | $16.04 |
| TennesseeTennessee | — | $16.02 |
| Austin, TXTexas | — | $16.75 |
| Beaumont, TXTexas | — | $16.42 |
| Brazoria, TXTexas | — | $16.57 |
| Dallas, TXTexas | — | $16.67 |
| Fort Worth, TXTexas | — | $16.66 |
| Galveston, TXTexas | — | $16.62 |
| Houston, TXTexas | — | $17.17 |
| Rest of TexasTexas | — | $16.48 |
| UtahUtah | — | $16.46 |
| VirginiaVirginia | — | $16.37 |
| Virgin Islands, VIUnited States Virgin Islands | — | $16.71 |
| VermontVermont | — | $16.18 |
| Rest of WashingtonWashington | — | $16.76 |
| King County, WAWashington | — | $17.72 |
| WisconsinWisconsin | — | $15.91 |
| West VirginiaWest Virginia | — | $16.83 |
| WyomingWyoming | — | $16.44 |
94013 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 94013 rate is calculated
Each of 94013’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 · 94013
RVUs × geographic indexes × conversion factor
Work0.40
0.40 RVUs× 1.000 GPCI
Practice expense0.07
0.07 RVUs× 1.000 GPCI
Malpractice0.03
0.03 RVUs× 1.000 GPCI
Adjusted RVUs
0.5000
Conversion factor
$33.4009
Medicare rate
$16.70
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Alaska inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,369
- Code
- 94013
- Physician work
- 0.40
- Practice expense
- 0.07
- Malpractice
- 0.03
GPCI2026.csv
5
- Locality
- Alaska
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.40 | × 1.500 | 0.6000 |
| Practice expense | 0.07 | × 1.065 | 0.0746 |
| Malpractice | 0.03 | × 0.551 | 0.0165 |
| Total RVUs | 0.6911 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alaska$23.08
Facility: (0.4 × 1.5 + 0.07 × 1.065 + 0.03 × 0.551) × $33.4009 = $23.08
Payment rules and modifiers for 94013
94013 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 · 94013
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
—
94013 isn’t priced in this setting.
How 94013 has changed in Alaska
94013 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $23.08 | RVU26D |
| 2026-07-01 | Not available in this setting | $23.08 | RVU26C |
| 2026-04-01 | Not available in this setting | $23.08 | RVU26B |
| 2026-01-01 | Not available in this setting | $23.08 | RVU26A |
| 2025-10-01 | Not available in this setting | $24.31 | RVU25D |
| 2025-07-01 | Not available in this setting | $24.31 | RVU25C |
| 2025-04-01 | Not available in this setting | $24.31 | RVU25B |
| 2025-01-01 | Not available in this setting | $24.31 | RVU25A |
| 2024-10-01 | Not available in this setting | $25.02 | RVU24D |
| 2024-07-01 | Not available in this setting | $25.02 | RVU24C |
| 2024-04-01 | Not available in this setting | $25.02 | RVU24B |
| 2024-03-09 | Not available in this setting | $25.02 | RVU24AR |
| 2024-01-01 | Not available in this setting | $24.61 | RVU24A |
| 2023-10-01 | Not available in this setting | $25.76 | RVU23D |
| 2023-07-01 | Not available in this setting | $25.76 | RVU23C |
| 2023-04-01 | Not available in this setting | $25.76 | RVU23B |
| 2023-01-01 | Not available in this setting | $25.76 | RVU23A |
| 2022-10-01 | Not available in this setting | $26.78 | RVU22D |
| 2022-07-01 | Not available in this setting | $26.78 | RVU22C |
| 2022-04-01 | Not available in this setting | $26.78 | RVU22B |
| 2022-01-01 | Not available in this setting | $26.78 | RVU22A |
| 2021-10-01 | Not available in this setting | $27.00 | RVU21D |
| 2021-07-01 | Not available in this setting | $27.00 | RVU21C |
| 2021-04-01 | Not available in this setting | $27.00 | RVU21B |
| 2021-01-01 | Not available in this setting | $27.00 | RVU21A |
| 2020-10-01 | Not available in this setting | $27.35 | RVU20D |
| 2020-07-01 | Not available in this setting | $27.35 | RVU20C |
| 2020-04-01 | Not available in this setting | $27.35 | RVU20B |
| 2020-01-01 | Not available in this setting | $27.35 | RVU20A |
| 2019-10-01 | Not available in this setting | $27.36 | RVU19D |
| 2019-07-01 | Not available in this setting | $27.36 | RVU19C |
| 2019-04-01 | Not available in this setting | $27.36 | RVU19B |
| 2019-01-01 | Not available in this setting | $27.36 | RVU19A |
| 2018-10-01 | Not available in this setting | $27.33 | RVU18D |
| 2018-07-01 | Not available in this setting | $27.33 | RVU18C |
| 2018-04-01 | Not available in this setting | $27.33 | RVU18B |
| 2018-01-01 | Not available in this setting | $27.33 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $28.02 | RVU17D |
| 2017-07-01 | Not available in this setting | $28.02 | RVU17C |
| 2017-04-01 | Not available in this setting | $28.02 | RVU17B |
| 2017-01-01 | Not available in this setting | $28.02 | RVU17A |
| 2016-10-01 | Not available in this setting | $46.57 | RVU16D |
| 2016-07-01 | Not available in this setting | $46.57 | RVU16C |
| 2016-04-01 | Not available in this setting | $46.57 | RVU16B |
| 2016-01-01 | Not available in this setting | $46.57 | RVU16A |
| 2015-10-01 | Not available in this setting | $43.76 | RVU15D |
| 2015-07-01 | Not available in this setting | $43.76 | RVU15C |
| 2015-04-01 | Not available in this setting | $43.54 | RVU15B |
| 2015-01-01 | Not available in this setting | $43.54 | RVU15A |
| 2014-10-01 | Not available in this setting | $44.24 | RVU14D |
| 2014-07-01 | Not available in this setting | $44.24 | RVU14C |
| 2014-04-01 | Not available in this setting | $44.24 | RVU14B |
| 2014-01-01 | Not available in this setting | $44.24 | RVU14A |
| 2013-10-01 | Not available in this setting | $46.56 | RVU13D |
| 2013-07-01 | Not available in this setting | $46.56 | RVU13C |
| 2013-04-01 | Not available in this setting | $46.56 | RVU13B |
| 2013-01-01 | Not available in this setting | $46.56 | RVU13AR |
Where the Alaska rate applies
Alaska is a Medicare payment area, not a city. Our Census mapping connects it to 355 cities and communities in Alaska. Some span more than one payment area; confirm with the service ZIP.
- Adak
- Akhiok
- Akiachak
- Akiak
- Akutan
- Alakanuk
- Alatna
- Alcan Border
94013 billing questions
Which children qualify by age?
The code is for children through age 2. For an older child, use the code that matches the pulmonary function service performed and the applicable age-specific coding.
How does this differ from 94011?
94013 identifies lung-volume measurement by spirometry technique. 94011 describes infant spirometry focused on breathing-capacity and expiratory-flow measurements.
Is this the infant code for bronchodilator testing?
No. 94012 is the infant spirometry code that includes bronchodilator responsiveness testing; 94013 identifies lung-volume measurement.
What documentation supports reporting 94013?
Document the child’s age, the spirometry technique used, and the lung-volume measurements obtained. The test report should make clear that lung volumes were measured, not merely airflow.
How does 94013 differ from plethysmography?
94013 identifies lung-volume measurement by spirometry technique. Code 94726 describes lung-volume determination by plethysmography.
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
Fee sheets · Coming soon
Put 94013 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist