CPT code 94617: Exercise bronchospasm test, with ECG2026 Medicare rate & RVUs in New Mexico

Reports exercise testing with ECG and spirometry to evaluate suspected exercise-induced bronchospasm, such as airway narrowing triggered by exertion.

CMS RVU26DEffective Oct 1, 2026One payment locality6K Medicare services in 2024

In New Mexico, Medicare pays $87.72 for 94617 in the office.

$87.72Office (non-facility)
Not available in this settingHospital or facility
−5.9%vs the national office rate ($93.19)

Check a contract rate as a % of Medicare · 94617 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 94617 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 94617 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 94617 covers

This test evaluates whether exertion provokes bronchospasm by comparing pulmonary function before and after exercise, with ECG recording during the test. It is commonly used when a patient reports wheezing, cough, chest tightness, or breathlessness during or after activity and the clinician needs objective evidence of exercise-related airflow changes. A pulmonologist, allergist, or other qualified clinician may supervise and interpret the test, with trained staff assisting in an office or facility setting.

Report 94617 when the exercise bronchospasm evaluation includes ECG recording; use the no-ECG sibling when ECG is not part of the test. Documentation should identify the exertional symptoms or diagnostic question, exercise performed, pulmonary function findings before and after exertion, ECG recording, and the clinician’s interpretation. CMS recognizes professional and technical components: report modifier 26 for interpretation, modifier TC for equipment and staff, or neither modifier for the global 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 New Mexico compares for 94617

Across 109 of 109 payment localities, the office rate for 94617 runs from $82.79 in Arkansas to $125.63 in San Benito County, CA. New Mexico pays $87.72. The RVUs are the same everywhere; the geographic indexes change the dollars.

94617 in New Mexico vs other payment areas
  1. New Mexico · this page$87.72
  2. Los Angeles, CA · California$106.32+$18.60
  3. Washington, DC area · District of Columbia$106.87+$19.15
  4. Miami, FL · Florida$98.07+$10.35
  5. Chicago, IL · Illinois$95.42+$7.70
  6. Manhattan, NY · New York$106.63+$18.91
  7. Alaska · Alaska$108.44+$20.72

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

Every other payment area

94617 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$83.97—
ArkansasArkansas$82.79—
ArizonaArizona$90.85—
Bakersfield, CACalifornia$99.74—
Chico, CACalifornia$99.59—
El Centro, CACalifornia$99.60—
Fresno, CACalifornia$99.59—
Hanford, CACalifornia$99.59—

94617 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.

$82.79

$112.61

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
94617 office rate range by state
State / territoryOffice rate rangeLocalities
AK$108.441
AL$83.971
AR$82.791
AZ$90.851
CA$99.59–$125.6329
CO$97.591
CT$99.251
DC$106.871
DE$92.341
FL$90.82–$98.073
GA$85.98–$94.632
GU$102.101
HI$102.101
IA$86.511
ID$86.951
IL$87.93–$96.254
IN$87.451
KS$85.891
KY$85.401
LA$85.18–$89.292
MA$96.95–$107.392
MD$94.14–$106.873
ME$87.15–$92.072
MI$87.35–$91.692
MN$94.251
MO$83.61–$89.873
MS$83.231
MT$93.191
NC$88.071
ND$92.391
NE$87.031
NH$95.861
NJ$100.59–$105.772
NM$87.721
NV$93.031
NY$89.33–$108.855
OH$87.181
OK$85.491
OR$92.52–$100.882
PA$87.45–$96.692
PR$93.931
RI$95.761
SC$87.731
SD$92.301
TN$86.281
TX$86.87–$97.098
UT$88.901
VA$91.62–$106.872
VI$93.931
VT$91.841
WA$96.83–$109.772
WI$89.361
WV$84.711
WY$92.841

See 94617 in every payment locality

How the 94617 rate is calculated

Each of 94617’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 · 94617

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.68

0.68 RVUs× 1.000 GPCI

Practice expense2.07

2.07 RVUs× 1.000 GPCI

Malpractice0.04

0.04 RVUs× 1.000 GPCI

Adjusted RVUs

2.7900

Conversion factor

$33.4009

Medicare rate

$93.19

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,398

Code
94617
Physician work
0.68
Practice expense
2.07
Malpractice
0.04

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 94617 in New Mexico
ComponentRVULocality factorAdjusted
Physician work0.68× 1.0000.6800
Practice expense2.07× 0.9171.8982
Malpractice0.04× 1.2010.0480
Total RVUs2.6262
Conversion factor× 33.4009

Office rate, New Mexico$87.72

Office: (0.68 × 1 + 2.07 × 0.917 + 0.04 × 1.201) × $33.4009 = $87.72

Open 94617 in the RVU calculator

Payment rules and modifiers for 94617

The CMS indicators that decide how 94617 is paid alongside other services.

CMS payment indicators · 94617

Exercise bronchospasm test, with ECG

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

94617 without 26 · national office

$93.19

Exercise bronchospasm test, with ECG

94617-26 · Professional component

$31.40

Pays only the interpretation and report.

When to use modifier 26

How 94617 has changed in New Mexico

94617 · Office / nonfacility

$87.72

Effective 2026-10-01

The base rate is $6.58 higher than on 2025-10-01, moving from $81.14 to $87.72 (8.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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
  1. January 1, 2026

    RVU26A

    $81.14changed to$87.72

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.70 changed to 0.68
    • Practice expense RVU 1.94 changed to 2.07
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $83.20changed to$81.14

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.93 changed to 1.94

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $81.84changed to$83.20

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $82.07changed to$81.84

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.87 changed to 1.93
    • Malpractice RVU 0.03 changed to 0.04
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172
  5. January 1, 2023

    RVU23A

    $83.42changed to$82.07

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $88.77changed to$83.42

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.98 changed to 1.87
    • Malpractice RVU 0.06 changed to 0.03

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $87.41changed to$88.77

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.83 changed to 1.98
    • Malpractice RVU 0.05 changed to 0.06
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $90.87changed to$87.41

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.91 changed to 1.83
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $92.10changed to$90.87

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.95 changed to 1.91

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    No ratechanged to$92.10

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$87.72Not available in this settingRVU26D
2026-07-01$87.72Not available in this settingRVU26C
2026-04-01$87.72Not available in this settingRVU26B
2026-01-01$87.72Not available in this settingRVU26A
2025-10-01$81.14Not available in this settingRVU25D
2025-07-01$81.14Not available in this settingRVU25C
2025-04-01$81.14Not available in this settingRVU25B
2025-01-01$81.14Not available in this settingRVU25A
2024-10-01$83.20Not available in this settingRVU24D
2024-07-01$83.20Not available in this settingRVU24C
2024-04-01$83.20Not available in this settingRVU24B
2024-03-09$83.20Not available in this settingRVU24AR
2024-01-01$81.84Not available in this settingRVU24A
2023-10-01$82.07Not available in this settingRVU23D
2023-07-01$82.07Not available in this settingRVU23C
2023-04-01$82.07Not available in this settingRVU23B
2023-01-01$82.07Not available in this settingRVU23A
2022-10-01$83.42Not available in this settingRVU22D
2022-07-01$83.42Not available in this settingRVU22C
2022-04-01$83.42Not available in this settingRVU22B
2022-01-01$83.42Not available in this settingRVU22A
2021-10-01$88.77Not available in this settingRVU21D
2021-07-01$88.77Not available in this settingRVU21C
2021-04-01$88.77Not available in this settingRVU21B
2021-01-01$88.77Not available in this settingRVU21A
2020-10-01$87.41Not available in this settingRVU20D
2020-07-01$87.41Not available in this settingRVU20C
2020-04-01$87.41Not available in this settingRVU20B
2020-01-01$87.41Not available in this settingRVU20A
2019-10-01$90.87Not available in this settingRVU19D
2019-07-01$90.87Not available in this settingRVU19C
2019-04-01$90.87Not available in this settingRVU19B
2019-01-01$90.87Not available in this settingRVU19A
2018-10-01$92.10Not available in this settingRVU18D
2018-07-01$92.10Not available in this settingRVU18C
2018-04-01$92.10Not available in this settingRVU18B
2018-01-01$92.10Not available in this settingRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 94617 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

94617 billing questions

When should 94617 be chosen over 94619?

Choose 94617 when the exercise bronchospasm test includes ECG recording. Code 94619 is the corresponding option when the test is performed without ECG.

Can the professional and technical services be billed separately?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service.

Is ECG recording included in this test?

ECG recording is part of the distinction between 94617 and its no-ECG sibling, 94619. The documentation should support that ECG was included in the exercise evaluation.

What documentation supports reporting 94617?

Document the reason for evaluating exertional symptoms, the exercise performed, pulmonary function results before and after exercise, ECG recording, and the interpreting clinician’s findings.

How does 94617 differ from pulmonary stress testing?

94617 evaluates exercise-provoked bronchospasm and includes ECG recording. Code 94618 is used for pulmonary stress testing focused on exercise response rather than this bronchospasm test.

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 94617PPRRVU2026_Oct_nonQPP.csv, line 12,398 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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