CPT code 94013: Lung-volume test, through age 22026 Medicare rate & RVUs in North Dakota

Reports spirometry-technique lung-volume measurement in a child through age 2 as part of an age-specific pulmonary function assessment.

CMS RVU26DEffective Oct 1, 2026One payment locality36 Medicare services in 2024

In North Dakota, Medicare pays $16.11 for 94013 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$16.11Hospital or facility

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.

We’ll open 94013 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Dakota
  2. What 94013 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 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 North Dakota 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. North Dakota pays $16.11. The RVUs are the same everywhere; the geographic indexes change the dollars.

94013 in North Dakota vs other payment areas
  1. North Dakota · this page$16.11
  2. Los Angeles, CA · California$17.34+$1.23
  3. Washington, DC area · District of Columbia$17.95+$1.84
  4. Miami, FL · Florida$18.33+$2.22
  5. Chicago, IL · Illinois$18.10+$1.99
  6. Manhattan, NY · New York$18.52+$2.41
  7. Alaska · Alaska$23.08+$6.97

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

Every other payment area

94013 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$15.97
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

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
94013 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 94013 in every payment locality

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

Office or facility?

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 North Dakota 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

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Facility calculation for 94013 in North Dakota
ComponentRVULocality factorAdjusted
Physician work0.40× 1.0000.4000
Practice expense0.07× 1.0000.0700
Malpractice0.03× 0.4060.0122
Total RVUs0.4822
Conversion factor× 33.4009

Facility rate, North Dakota$16.11

Facility: (0.4 × 1 + 0.07 × 1 + 0.03 × 0.406) × $33.4009 = $16.11

Open 94013 in the RVU calculator

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 North Dakota

94013 · 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$16.11RVU26D
2026-07-01Not available in this setting$16.11RVU26C
2026-04-01Not available in this setting$16.11RVU26B
2026-01-01Not available in this setting$16.11RVU26A
2025-10-01Not available in this setting$17.32RVU25D
2025-07-01Not available in this setting$17.32RVU25C
2025-04-01Not available in this setting$17.32RVU25B
2025-01-01Not available in this setting$17.32RVU25A
2024-10-01Not available in this setting$17.83RVU24D
2024-07-01Not available in this setting$17.83RVU24C
2024-04-01Not available in this setting$17.83RVU24B
2024-03-09Not available in this setting$17.83RVU24AR
2024-01-01Not available in this setting$17.53RVU24A
2023-10-01Not available in this setting$18.26RVU23D
2023-07-01Not available in this setting$18.26RVU23C
2023-04-01Not available in this setting$18.26RVU23B
2023-01-01Not available in this setting$18.26RVU23A
2022-10-01Not available in this setting$18.94RVU22D
2022-07-01Not available in this setting$18.94RVU22C
2022-04-01Not available in this setting$18.94RVU22B
2022-01-01Not available in this setting$18.94RVU22A
2021-10-01Not available in this setting$19.09RVU21D
2021-07-01Not available in this setting$19.09RVU21C
2021-04-01Not available in this setting$19.09RVU21B
2021-01-01Not available in this setting$19.09RVU21A
2020-10-01Not available in this setting$19.29RVU20D
2020-07-01Not available in this setting$19.29RVU20C
2020-04-01Not available in this setting$19.29RVU20B
2020-01-01Not available in this setting$19.29RVU20A
2019-10-01Not available in this setting$19.32RVU19D
2019-07-01Not available in this setting$19.32RVU19C
2019-04-01Not available in this setting$19.32RVU19B
2019-01-01Not available in this setting$19.32RVU19A
2018-10-01Not available in this setting$19.30RVU18D
2018-07-01Not available in this setting$19.30RVU18C
2018-04-01Not available in this setting$19.30RVU18B
2018-01-01Not available in this setting$19.30RVU18AR1
2017-10-01Not available in this setting$19.97RVU17D
2017-07-01Not available in this setting$19.97RVU17C
2017-04-01Not available in this setting$19.97RVU17B
2017-01-01Not available in this setting$19.97RVU17A
2016-10-01Not available in this setting$33.33RVU16D
2016-07-01Not available in this setting$33.33RVU16C
2016-04-01Not available in this setting$33.33RVU16B
2016-01-01Not available in this setting$33.33RVU16A
2015-10-01Not available in this setting$30.98RVU15D
2015-07-01Not available in this setting$30.98RVU15C
2015-04-01Not available in this setting$30.83RVU15B
2015-01-01Not available in this setting$30.83RVU15A
2014-10-01Not available in this setting$31.58RVU14D
2014-07-01Not available in this setting$31.58RVU14C
2014-04-01Not available in this setting$31.58RVU14B
2014-01-01Not available in this setting$31.58RVU14A
2013-10-01Not available in this setting$34.39RVU13D
2013-07-01Not available in this setting$34.39RVU13C
2013-04-01Not available in this setting$34.39RVU13B
2013-01-01Not available in this setting$34.39RVU13AR

Price 94013 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

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
RVUs for 94013PPRRVU2026_Oct_nonQPP.csv, line 12,369 (RVU26D)
Geographic factors for North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

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