CPT code 94060: Bronchodilator spirometry, pre- and post-bronchodilator testing2026 Medicare rate & RVUs in Louisiana

Spirometry performed before and after an inhaled bronchodilator to measure reversible airflow obstruction, reported when evaluating suspected asthma, COPD, or unexplained wheezing and dyspnea.

CMS RVU26DEffective Oct 1, 20262 payment localities794.2K Medicare services in 2024

Medicare pays $39.28–$41.40 for 94060 in the office in Louisiana, from Rest of Louisiana to New Orleans, LA. Which amount applies depends on the service address.

$39.28–$41.40Office (non-facility)
—Hospital or facility

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 9 sections
  1. Rate in Louisiana
  2. What 94060 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 94060 covers

This test compares forced expiratory measurements before and after a short-acting bronchodilator to assess airflow reversibility. The patient performs baseline maneuvers measuring FEV1 and FVC, receives an inhaled bronchodilator such as albuterol, then repeats spirometry after an appropriate interval. Respiratory therapists or pulmonary function technologists commonly perform it in physician offices, pulmonary function labs, and hospital outpatient departments. Pulmonologists, allergists, and other treating physicians interpret the results when evaluating asthma, COPD, wheezing, or treatment response.

Report one unit for the pre- and post-bronchodilator study in the same session, regardless of whether airflow improves. If only baseline spirometry is performed, report 94010 instead; do not separately report 94010 for the baseline phase of 94060. Record the indication, bronchodilator and dose, and both sets of measurements. The professional service also requires an interpretation and report. Under Medicare, billing without a modifier represents the global test; modifier 26 identifies the interpretation and report, while modifier TC identifies the equipment and staff performing the test. A physician interpreting a hospital-performed test reports the professional component.

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.

Where 94060 pays more and less in Louisiana

94060 office and facility rates by payment locality
Payment localityOfficeFacility
New Orleans, LA$41.40Unavailable
Rest of Louisiana$39.28Unavailable

How the 94060 rate is calculated

Each of 94060’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 · 94060

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.21

0.21 RVUs× 1.000 GPCI

Practice expense1.07

1.07 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

1.3000

Conversion factor

$33.4009

Medicare rate

$43.42

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

Payment rules and modifiers for 94060

The CMS indicators that decide how 94060 is paid alongside other services.

CMS payment indicators · 94060

Bronchodilator spirometry, pre- and post-bronchodilator testing

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

94060 without 26 · national office

$43.42

Bronchodilator spirometry, pre- and post-bronchodilator testing

94060-26 · Professional component

$10.35

Pays only the interpretation and report.

When to use modifier 26

94060 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 94060

    Bronchodilator spirometry, pre- and post-bronchodilator testing0.21 wRVU

    $43.42

  • 94010

    Spirometry, no post-bronchodilator comparison0.17 wRVU

    $29.73−$13.69

  • 94070

    Wheezing evaluation, bronchial challenge testing0.59 wRVU

    $69.81+$26.39

  • 94617

    Exercise bronchospasm test, with ECG0.68 wRVU

    $93.19+$49.77

  • 94012

    Infant spirometry, with bronchodilator2.78 wRVU

    Not priced

How to choose

94010SpirometryNo post-bronchodilator comparison
94010 is spirometry without a post-bronchodilator study. Choose 94060 when spirometry is repeated after bronchodilator administration in the same session.
94070Wheezing evaluationBronchial challenge testing
94070 evaluates airway narrowing after a provocative agent such as methacholine. 94060 measures change after a bronchodilator.
94617Exercise bronchospasm testWith ECG
94617 evaluates exercise-induced bronchospasm with spirometry before and after exercise. 94060 uses a bronchodilator, not exercise, between spirometry measurements.
94012Infant spirometryWith bronchodilator
94012 is pre- and post-bronchodilator spirometry for infants and children through age 2. Use 94060 for patients outside that age-specific service who perform standard spirometry.

94060 billing questions

Can 94010 be reported with 94060 on the same date?

Do not report 94010 separately for the baseline measurements included in a 94060 testing session. If only baseline spirometry is performed, report 94010 instead.

Is nebulizer or inhaler administration of the bronchodilator billed separately with 94060?

No. Do not report 94640 separately for administering the bronchodilator used during the pre- and post-bronchodilator test.

When should modifier 26 or TC be appended?

Append modifier 26 when the physician provides only the interpretation and report, such as for a study performed in a hospital PFT lab. Append modifier TC for the equipment-and-staff portion; bill without a modifier when the billing entity provides the global service.

Can a diffusing capacity test be added to 94060?

Yes. Report add-on code 94729 with 94060 when diffusing capacity is also measured in the same session.

What if the patient did not improve after the bronchodilator?

94060 is still reportable when both spirometry phases were performed. Code selection depends on the testing performed, not whether the patient had a positive bronchodilator response.

What documentation supports 94060?

Document the indication, bronchodilator name and dose, and pre- and post-bronchodilator measurements. Billing the professional component also requires an interpretation and report addressing the findings.

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 94060PPRRVU2026_Oct_nonQPP.csv, line 12,373 (RVU26D)

Open CMS sourceHow we calculate rates

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