CPT code 94619: Exercise challenge, without ECG recording2026 Medicare rate & RVUs in New Mexico

Reports an exercise challenge with pre- and post-exercise spirometry to assess suspected exercise-induced bronchospasm when ECG recording is not performed.

CMS RVU26DEffective Oct 1, 2026One payment locality2.7K Medicare services in 2024

In New Mexico, Medicare pays $62.87 for 94619 in the office.

$62.87Office (non-facility)
Not available in this settingHospital or facility
−5.9%vs the national office rate ($66.80)

Check a contract rate as a % of Medicare · 94619 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 94619 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 94619 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 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.

How New Mexico compares for 94619

Across 109 of 109 payment localities, the office rate for 94619 runs from $59.30 in Arkansas to $90.10 in San Benito County, CA. New Mexico pays $62.87. The RVUs are the same everywhere; the geographic indexes change the dollars.

94619 in New Mexico vs other payment areas
  1. New Mexico · this page$62.87
  2. Los Angeles, CA · California$76.23+$13.36
  3. Washington, DC area · District of Columbia$76.64+$13.77
  4. Miami, FL · Florida$70.37+$7.50
  5. Chicago, IL · Illinois$68.46+$5.59
  6. Manhattan, NY · New York$76.48+$13.61
  7. Alaska · Alaska$77.60+$14.73

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

Every other payment area

94619 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$60.15—
ArkansasArkansas$59.30—
ArizonaArizona$65.11—
Bakersfield, CACalifornia$71.49—
Chico, CACalifornia$71.39—
El Centro, CACalifornia$71.39—
Fresno, CACalifornia$71.39—
Hanford, CACalifornia$71.39—

94619 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.

$59.30

$80.75

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

View every state and territory as a table
94619 office rate range by state
State / territoryOffice rate rangeLocalities
AK$77.601
AL$60.151
AR$59.301
AZ$65.111
CA$71.39–$90.1029
CO$69.961
CT$71.161
DC$76.641
DE$66.181
FL$65.12–$70.373
GA$61.62–$67.852
GU$73.201
HI$73.201
IA$61.971
ID$62.291
IL$63.04–$69.034
IN$62.651
KS$61.531
KY$61.191
LA$61.04–$64.002
MA$69.49–$77.002
MD$67.48–$76.643
ME$62.44–$65.982
MI$62.60–$65.752
MN$67.541
MO$59.91–$64.413
MS$59.621
MT$66.801
NC$63.111
ND$66.211
NE$62.351
NH$68.721
NJ$72.12–$75.842
NM$62.871
NV$66.681
NY$64.02–$78.095
OH$62.481
OK$61.251
OR$66.31–$72.332
PA$62.67–$69.322
PR$67.331
RI$68.641
SC$62.871
SD$66.141
TN$61.811
TX$62.25–$69.618
UT$63.711
VA$65.66–$76.642
VI$67.331
VT$65.811
WA$69.41–$78.722
WI$64.021
WV$60.711
WY$66.541

See 94619 in every payment locality

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

Office or facility?

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.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,404

Code
94619
Physician work
0.48
Practice expense
1.49
Malpractice
0.03

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 94619 in New Mexico
ComponentRVULocality factorAdjusted
Physician work0.48× 1.0000.4800
Practice expense1.49× 0.9171.3663
Malpractice0.03× 1.2010.0360
Total RVUs1.8824
Conversion factor× 33.4009

Office rate, New Mexico$62.87

Office: (0.48 × 1 + 1.49 × 0.917 + 0.03 × 1.201) × $33.4009 = $62.87

Open 94619 in the RVU calculator

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

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

94619 without 26 · national office

$66.80

Exercise challenge, without ECG recording

94619-26 · Professional component

$21.38

Pays only the interpretation and report.

When to use modifier 26

How 94619 has changed in New Mexico

94619 · Office / nonfacility

$62.87

Effective 2026-10-01

The base rate is $3.59 higher than on 2025-10-01, moving from $59.28 to $62.87 (6.1%).

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

    $59.28changed to$62.87

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.49 changed to 0.48
    • Practice expense RVU 1.44 changed to 1.49
    • 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

    $60.70changed to$59.28

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.43 changed to 1.44

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $59.71changed to$60.70

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $71.68changed to$59.71

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.75 changed to 1.43
    • Malpractice RVU 0.04 changed to 0.03
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172
  5. January 1, 2023

    RVU23A

    $64.99changed to$71.68

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.51 changed to 1.75
    • Malpractice RVU 0.03 changed to 0.04
    • 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

    $68.75changed to$64.99

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.60 changed to 1.51
    • Malpractice RVU 0.04 changed to 0.03

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    No ratechanged to$68.75

    Held through RVU21B, RVU21C, RVU21D.

  8. 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, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$62.87Not available in this settingRVU26D
2026-07-01$62.87Not available in this settingRVU26C
2026-04-01$62.87Not available in this settingRVU26B
2026-01-01$62.87Not available in this settingRVU26A
2025-10-01$59.28Not available in this settingRVU25D
2025-07-01$59.28Not available in this settingRVU25C
2025-04-01$59.28Not available in this settingRVU25B
2025-01-01$59.28Not available in this settingRVU25A
2024-10-01$60.70Not available in this settingRVU24D
2024-07-01$60.70Not available in this settingRVU24C
2024-04-01$60.70Not available in this settingRVU24B
2024-03-09$60.70Not available in this settingRVU24AR
2024-01-01$59.71Not available in this settingRVU24A
2023-10-01$71.68Not available in this settingRVU23D
2023-07-01$71.68Not available in this settingRVU23C
2023-04-01$71.68Not available in this settingRVU23B
2023-01-01$71.68Not available in this settingRVU23A
2022-10-01$64.99Not available in this settingRVU22D
2022-07-01$64.99Not available in this settingRVU22C
2022-04-01$64.99Not available in this settingRVU22B
2022-01-01$64.99Not available in this settingRVU22A
2021-10-01$68.75Not available in this settingRVU21D
2021-07-01$68.75Not available in this settingRVU21C
2021-04-01$68.75Not available in this settingRVU21B
2021-01-01$68.75Not available in this settingRVU21A
2020-10-01Not in this releaseNot in this releaseRVU20D
2020-07-01Not in this releaseNot in this releaseRVU20C
2020-04-01Not in this releaseNot in this releaseRVU20B
2020-01-01Not in this releaseNot in this releaseRVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
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 94619 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

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

Show the CMS file lines behind this rate
RVUs for 94619PPRRVU2026_Oct_nonQPP.csv, line 12,404 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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