CPT code 94619: Exercise challenge, without ECG recording2026 Medicare rate & RVUs in Florida
Reports an exercise challenge with pre- and post-exercise spirometry to assess suspected exercise-induced bronchospasm when ECG recording is not performed.
Medicare pays $65.12–$70.37 for 94619 in the office in Florida, from Rest of Florida to Miami, FL. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 94619 covers
This test evaluates whether exertion triggers airway narrowing, often in a patient with cough, wheezing, or breathlessness during or after exercise. The patient exercises, commonly on a treadmill or cycle, while pulmonary function staff obtain spirometry before and after exertion. A physician or qualified clinician interprets the airflow changes in the context of the test and symptoms. It is typically performed in a pulmonary function laboratory or another setting equipped for exercise testing and spirometry.
Report 94619 for the bronchospasm challenge without ECG recording, rather than a general exercise-capacity assessment. Documentation should identify the clinical reason for testing, exercise protocol, baseline and post-exercise spirometry findings, and interpretation. The pre- and post-exercise measurements are part of the challenge, not separate services when they represent the work of this test. Medicare recognizes professional and technical components: use modifier 26 for interpretation only, modifier TC for equipment and staff only, or report without a component 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.
Where 94619 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$65.12 to $70.37
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | $68.26 | Unavailable |
| Miami, FL | $70.37 | Unavailable |
| Rest of Florida | $65.12 | Unavailable |
How the 94619 rate is calculated
Each of 94619’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 · 94619
RVUs × geographic indexes × conversion factor
Work0.48
0.48 RVUs× 1.000 GPCI
Practice expense1.49
1.49 RVUs× 1.000 GPCI
Malpractice0.03
0.03 RVUs× 1.000 GPCI
Adjusted RVUs
2.0000
Conversion factor
$33.4009
Medicare rate
$66.80
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 94619
The CMS indicators that decide how 94619 is paid alongside other services.
CMS payment indicators · 94619
Exercise challenge, without ECG recording
| 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
94619 without 26 · national office
$66.80
Exercise challenge, without ECG recording
94619-26 · Professional component
$21.38
Pays only the interpretation and report.
94619 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 94617Exercise bronchospasm testWith ECG
- Both assess exercise-related bronchospasm with spirometry before and after exertion. Choose 94617 when ECG recording is performed; use 94619 when it is not.
- 94618Pulmonary stress testSimple exercise assessment
- 94618 is pulmonary stress testing for exercise-related functional assessment, such as a walk test. 94619 is an exercise challenge directed at detecting bronchospasm.
- 94621Exercise testCardiopulmonary gas analysis
- 94621 is a broader cardiopulmonary exercise assessment. 94619 focuses on whether exercise provokes bronchospasm and includes pre- and post-exercise spirometry.
- 94010SpirometryNo post-bronchodilator comparison
- 94010 reports spirometry without an exercise challenge. Use 94619 when exertion is used to evaluate suspected exercise-induced airway narrowing.
94619 billing questions
When should 94619 be chosen instead of 94617?
Use 94619 for an exercise challenge evaluating bronchospasm when ECG recording is not performed. The corresponding test with ECG recording is 94617.
Can the pre- and post-exercise spirometry be billed separately?
Those measurements are integral to the exercise challenge when they are performed as part of this test. Do not separately report them as independent spirometry services for the same test work.
How should the professional and technical portions be reported?
Use modifier 26 for the interpretation alone and modifier TC for the technical portion, including equipment and staff. Report without either modifier when billing the global service.
Is 94619 reported per spirometry reading or per exercise test?
It represents the exercise challenge, not each spirometry measurement. The documentation should support a completed challenge and its pre- and post-exercise findings.
What documentation supports reporting 94619?
Record the symptoms or clinical concern prompting the challenge, the exercise protocol, pre- and post-exercise spirometry results, and the clinician's interpretation of the airway response.
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
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