CPT code 94618: Pulmonary stress test, simple exercise assessment2026 Medicare rate & RVUs in New Mexico
Reports a simple exercise-based pulmonary assessment, such as a six-minute walk, to evaluate exertional symptoms and physiologic response.
In New Mexico, Medicare pays $35.59 for 94618 in the office.
Check a contract rate as a % of Medicare · 94618 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 94618 covers
This service evaluates how a patient’s breathing and oxygenation respond to exercise. A common example is a six-minute walk test for a patient with exertional breathlessness or suspected exercise-related desaturation. The patient walks or performs another defined exercise activity while the clinical team observes symptoms and measures physiologic responses such as oxygen saturation and heart rate. Pulmonologists and other qualified clinicians may supervise the test, with respiratory therapists or trained staff commonly assisting in an outpatient pulmonary function laboratory or clinic.
Report 94618 for a simple pulmonary stress assessment, rather than a test designed specifically to provoke bronchospasm or a comprehensive cardiopulmonary exercise study. The record should identify the indication, exercise method, relevant measurements, patient response, and clinician interpretation. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment-and-staff portion, and reporting without either modifier represents 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 94618
Across 109 of 109 payment localities, the office rate for 94618 runs from $33.72 in Arkansas to $47.34 in San Benito County, CA. New Mexico pays $35.59. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$35.59
- Los Angeles, CA · California$41.11+$5.52
- Washington, DC area · District of Columbia$41.66+$6.07
- Miami, FL · Florida$39.44+$3.85
- Chicago, IL · Illinois$38.58+$2.99
- Manhattan, NY · New York$41.97+$6.38
- Alaska · Alaska$45.80+$10.21
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $34.09 | — |
| ArkansasArkansas | $33.72 | — |
| ArizonaArizona | $36.30 | — |
| Bakersfield, CACalifornia | $38.94 | — |
| Chico, CACalifornia | $38.83 | — |
| El Centro, CACalifornia | $38.84 | — |
| Fresno, CACalifornia | $38.83 | — |
| Hanford, CACalifornia | $38.83 | — |
| Madera, CACalifornia | $38.83 | — |
| Merced, CACalifornia | $38.83 | — |
| Modesto, CACalifornia | $38.83 | — |
| Napa, CACalifornia | $44.05 | — |
| Oxnard, CACalifornia | $40.84 | — |
| Redding, CACalifornia | $38.83 | — |
| Rest of CaliforniaCalifornia | $38.83 | — |
| Riverside, CACalifornia | $39.17 | — |
| Sacramento, CACalifornia | $40.50 | — |
| Salinas, CACalifornia | $40.34 | — |
| San Diego, CACalifornia | $41.08 | — |
| Marin County, CACalifornia | $46.38 | — |
| San Francisco, CACalifornia | $46.34 | — |
| San Benito County, CACalifornia | $47.34 | — |
| Santa Clara County, CACalifornia | $47.20 | — |
| San Luis Obispo, CACalifornia | $39.71 | — |
| Santa Cruz, CACalifornia | $41.32 | — |
| Santa Maria, CACalifornia | $40.43 | — |
| Santa Rosa, CACalifornia | $41.73 | — |
| Stockton, CACalifornia | $38.83 | — |
| Vallejo, CACalifornia | $44.00 | — |
| Visalia, CACalifornia | $38.83 | — |
| Yuba City, CACalifornia | $38.83 | — |
| ColoradoColorado | $38.35 | — |
| ConnecticutConnecticut | $39.17 | — |
| DelawareDelaware | $36.81 | — |
| Fort Lauderdale, FLFlorida | $38.15 | — |
| Rest of FloridaFlorida | $36.68 | — |
| Atlanta, GAGeorgia | $37.65 | — |
| Rest of GeorgiaGeorgia | $35.07 | — |
| Hawaii, Guam, HIHawaii | $39.44 | — |
| IowaIowa | $34.74 | — |
| IdahoIdaho | $34.92 | — |
| East St. Louis, ILIllinois | $36.46 | — |
| Rest of IllinoisIllinois | $35.87 | — |
| Suburban Chicago, ILIllinois | $38.51 | — |
| IndianaIndiana | $35.07 | — |
| KansasKansas | $34.62 | — |
| KentuckyKentucky | $34.73 | — |
| New Orleans, LALouisiana | $36.01 | — |
| Rest of LouisianaLouisiana | $34.69 | — |
| Metropolitan Boston, MAMassachusetts | $41.56 | — |
| Rest of MassachusettsMassachusetts | $38.20 | — |
| Baltimore area, MDMaryland | $39.05 | — |
| Rest of MarylandMaryland | $37.39 | — |
| Rest of MaineMaine | $35.07 | — |
| Southern Maine, MEMaine | $36.52 | — |
| Detroit, MIMichigan | $37.05 | — |
| Rest of MichiganMichigan | $35.43 | — |
| MinnesotaMinnesota | $36.96 | — |
| Metropolitan Kansas City, MOMissouri | $35.81 | — |
| Metropolitan St. Louis, MOMissouri | $36.10 | — |
| Rest of MissouriMissouri | $34.24 | — |
| MississippiMississippi | $33.98 | — |
| MontanaMontana | $37.07 | — |
| North CarolinaNorth Carolina | $35.35 | — |
| North DakotaNorth Dakota | $36.48 | — |
| NebraskaNebraska | $34.88 | — |
| New HampshireNew Hampshire | $37.79 | — |
| Northern New JerseyNew Jersey | $41.39 | — |
| Rest of New JerseyNew Jersey | $39.67 | — |
| NevadaNevada | $36.93 | — |
| NYC suburbs and Long Island, NYNew York | $42.79 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $39.93 | — |
| Queens, NYNew York | $42.23 | — |
| Rest of New YorkNew York | $35.76 | — |
| OhioOhio | $35.31 | — |
| OklahomaOklahoma | $34.67 | — |
| Portland, OROregon | $39.33 | — |
| Rest of OregonOregon | $36.70 | — |
| Metropolitan Philadelphia, PAPennsylvania | $38.39 | — |
| Rest of PennsylvaniaPennsylvania | $35.35 | — |
| Puerto RicoPuerto Rico | $37.28 | — |
| Rhode IslandRhode Island | $37.94 | — |
| South CarolinaSouth Carolina | $35.38 | — |
| South DakotaSouth Dakota | $36.41 | — |
| TennesseeTennessee | $34.76 | — |
| Austin, TXTexas | $38.17 | — |
| Beaumont, TXTexas | $35.17 | — |
| Brazoria, TXTexas | $36.80 | — |
| Dallas, TXTexas | $36.99 | — |
| Fort Worth, TXTexas | $36.80 | — |
| Galveston, TXTexas | $36.89 | — |
| Houston, TXTexas | $37.43 | — |
| Rest of TexasTexas | $35.94 | — |
| UtahUtah | $35.75 | — |
| VirginiaVirginia | $36.43 | — |
| Virgin Islands, VIUnited States Virgin Islands | $37.28 | — |
| VermontVermont | $36.38 | — |
| Rest of WashingtonWashington | $38.12 | — |
| King County, WAWashington | $42.30 | — |
| WisconsinWisconsin | $35.53 | — |
| West VirginiaWest Virginia | $34.84 | — |
| WyomingWyoming | $36.81 | — |
94618 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.
$33.72
$45.80
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $45.80 | 1 |
| AL | $34.09 | 1 |
| AR | $33.72 | 1 |
| AZ | $36.30 | 1 |
| CA | $38.83–$47.34 | 29 |
| CO | $38.35 | 1 |
| CT | $39.17 | 1 |
| DC | $41.66 | 1 |
| DE | $36.81 | 1 |
| FL | $36.68–$39.44 | 3 |
| GA | $35.07–$37.65 | 2 |
| GU | $39.44 | 1 |
| HI | $39.44 | 1 |
| IA | $34.74 | 1 |
| ID | $34.92 | 1 |
| IL | $35.87–$38.58 | 4 |
| IN | $35.07 | 1 |
| KS | $34.62 | 1 |
| KY | $34.73 | 1 |
| LA | $34.69–$36.01 | 2 |
| MA | $38.20–$41.56 | 2 |
| MD | $37.39–$41.66 | 3 |
| ME | $35.07–$36.52 | 2 |
| MI | $35.43–$37.05 | 2 |
| MN | $36.96 | 1 |
| MO | $34.24–$36.10 | 3 |
| MS | $33.98 | 1 |
| MT | $37.07 | 1 |
| NC | $35.35 | 1 |
| ND | $36.48 | 1 |
| NE | $34.88 | 1 |
| NH | $37.79 | 1 |
| NJ | $39.67–$41.39 | 2 |
| NM | $35.59 | 1 |
| NV | $36.93 | 1 |
| NY | $35.76–$42.79 | 5 |
| OH | $35.31 | 1 |
| OK | $34.67 | 1 |
| OR | $36.70–$39.33 | 2 |
| PA | $35.35–$38.39 | 2 |
| PR | $37.28 | 1 |
| RI | $37.94 | 1 |
| SC | $35.38 | 1 |
| SD | $36.41 | 1 |
| TN | $34.76 | 1 |
| TX | $35.17–$38.17 | 8 |
| UT | $35.75 | 1 |
| VA | $36.43–$41.66 | 2 |
| VI | $37.28 | 1 |
| VT | $36.38 | 1 |
| WA | $38.12–$42.30 | 2 |
| WI | $35.53 | 1 |
| WV | $34.84 | 1 |
| WY | $36.81 | 1 |
How the 94618 rate is calculated
Each of 94618’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 · 94618
RVUs × geographic indexes × conversion factor
Work0.47
0.47 RVUs× 1.000 GPCI
Practice expense0.61
0.61 RVUs× 1.000 GPCI
Malpractice0.03
0.03 RVUs× 1.000 GPCI
Adjusted RVUs
1.1100
Conversion factor
$33.4009
Medicare rate
$37.07
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
12,401
- Code
- 94618
- Physician work
- 0.47
- Practice expense
- 0.61
- Malpractice
- 0.03
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.47 | × 1.000 | 0.4700 |
| Practice expense | 0.61 | × 0.917 | 0.5594 |
| Malpractice | 0.03 | × 1.201 | 0.0360 |
| Total RVUs | 1.0654 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Mexico$35.59
Office: (0.47 × 1 + 0.61 × 0.917 + 0.03 × 1.201) × $33.4009 = $35.59
Payment rules and modifiers for 94618
The CMS indicators that decide how 94618 is paid alongside other services.
CMS payment indicators · 94618
Pulmonary stress test, simple exercise assessment
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
94618 without 26 · national office
$37.07
Pulmonary stress test, simple exercise assessment
94618-26 · Professional component
$22.71
Pays only the interpretation and report.
How 94618 has changed in New Mexico
94618 · Office / nonfacility
$35.59
Effective 2026-10-01
The base rate is $3.65 higher than on 2025-10-01, moving from $31.94 to $35.59 (11.4%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$31.94changed to$35.59
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.48 changed to 0.47
- Practice expense RVU 0.52 changed to 0.61
- Practice expense GPCI 0.908 changed to 0.917
- Malpractice GPCI 1.172 changed to 1.201
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$32.56changed to$31.94
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.51 changed to 0.52
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$32.03changed to$32.56
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$32.43changed to$32.03
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.49 changed to 0.51
- Practice expense GPCI 0.902 changed to 0.908
- Malpractice GPCI 1.169 changed to 1.172
January 1, 2023
RVU23A
$32.39changed to$32.43
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.47 changed to 0.49
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 1.166 changed to 1.169
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$32.35changed to$32.39
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.46 changed to 0.47
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$33.05changed to$32.35
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.44 changed to 0.46
- Practice expense GPCI 0.908 changed to 0.896
- Malpractice GPCI 1.207 changed to 1.166
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$33.58changed to$33.05
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.45 changed to 0.44
- Practice expense GPCI 0.921 changed to 0.908
- Malpractice GPCI 1.247 changed to 1.207
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$33.88changed to$33.58
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.46 changed to 0.45
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
No ratechanged to$33.88
Held through RVU18B, RVU18C, RVU18D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $35.59 | Not available in this setting | RVU26D |
| 2026-07-01 | $35.59 | Not available in this setting | RVU26C |
| 2026-04-01 | $35.59 | Not available in this setting | RVU26B |
| 2026-01-01 | $35.59 | Not available in this setting | RVU26A |
| 2025-10-01 | $31.94 | Not available in this setting | RVU25D |
| 2025-07-01 | $31.94 | Not available in this setting | RVU25C |
| 2025-04-01 | $31.94 | Not available in this setting | RVU25B |
| 2025-01-01 | $31.94 | Not available in this setting | RVU25A |
| 2024-10-01 | $32.56 | Not available in this setting | RVU24D |
| 2024-07-01 | $32.56 | Not available in this setting | RVU24C |
| 2024-04-01 | $32.56 | Not available in this setting | RVU24B |
| 2024-03-09 | $32.56 | Not available in this setting | RVU24AR |
| 2024-01-01 | $32.03 | Not available in this setting | RVU24A |
| 2023-10-01 | $32.43 | Not available in this setting | RVU23D |
| 2023-07-01 | $32.43 | Not available in this setting | RVU23C |
| 2023-04-01 | $32.43 | Not available in this setting | RVU23B |
| 2023-01-01 | $32.43 | Not available in this setting | RVU23A |
| 2022-10-01 | $32.39 | Not available in this setting | RVU22D |
| 2022-07-01 | $32.39 | Not available in this setting | RVU22C |
| 2022-04-01 | $32.39 | Not available in this setting | RVU22B |
| 2022-01-01 | $32.39 | Not available in this setting | RVU22A |
| 2021-10-01 | $32.35 | Not available in this setting | RVU21D |
| 2021-07-01 | $32.35 | Not available in this setting | RVU21C |
| 2021-04-01 | $32.35 | Not available in this setting | RVU21B |
| 2021-01-01 | $32.35 | Not available in this setting | RVU21A |
| 2020-10-01 | $33.05 | Not available in this setting | RVU20D |
| 2020-07-01 | $33.05 | Not available in this setting | RVU20C |
| 2020-04-01 | $33.05 | Not available in this setting | RVU20B |
| 2020-01-01 | $33.05 | Not available in this setting | RVU20A |
| 2019-10-01 | $33.58 | Not available in this setting | RVU19D |
| 2019-07-01 | $33.58 | Not available in this setting | RVU19C |
| 2019-04-01 | $33.58 | Not available in this setting | RVU19B |
| 2019-01-01 | $33.58 | Not available in this setting | RVU19A |
| 2018-10-01 | $33.88 | Not available in this setting | RVU18D |
| 2018-07-01 | $33.88 | Not available in this setting | RVU18C |
| 2018-04-01 | $33.88 | Not available in this setting | RVU18B |
| 2018-01-01 | $33.88 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
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
94618 billing questions
When should 94618 be used instead of 94621?
Use 94618 for a simple pulmonary exercise assessment, commonly a walk test with physiologic monitoring. Use 94621 when the service is a comprehensive cardiopulmonary exercise test.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service involving equipment and staff. Without either modifier, the claim represents the global service.
What documentation supports 94618?
Document the clinical reason for testing, exercise method, relevant measurements, patient symptoms or response, and interpretation. For a walk test, include the walking performance and recorded physiologic findings.
Is a six-minute walk an example of this service?
Yes. A six-minute walk is a common simple pulmonary stress assessment reported with 94618 when performed to evaluate the patient’s response to exercise.
How does 94618 differ from an exercise bronchospasm test?
94618 evaluates the pulmonary response to exercise. Codes 94617 and 94619 are used for exercise testing directed at bronchospasm, with the applicable code distinguished by ECG use.
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
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