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.
In New Mexico, Medicare pays $62.87 for 94619 in the office.
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.
On this page 11 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.
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.
- New Mexico · this page$62.87
- Los Angeles, CA · California$76.23+$13.36
- Washington, DC area · District of Columbia$76.64+$13.77
- Miami, FL · Florida$70.37+$7.50
- Chicago, IL · Illinois$68.46+$5.59
- Manhattan, NY · New York$76.48+$13.61
- Alaska · Alaska$77.60+$14.73
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 | — |
| Madera, CACalifornia | $71.39 | — |
| Merced, CACalifornia | $71.39 | — |
| Modesto, CACalifornia | $71.39 | — |
| Napa, CACalifornia | $83.14 | — |
| Oxnard, CACalifornia | $75.93 | — |
| Redding, CACalifornia | $71.39 | — |
| Rest of CaliforniaCalifornia | $71.39 | — |
| Riverside, CACalifornia | $71.72 | — |
| Sacramento, CACalifornia | $75.03 | — |
| Salinas, CACalifornia | $74.75 | — |
| San Diego, CACalifornia | $76.58 | — |
| Marin County, CACalifornia | $88.19 | — |
| San Francisco, CACalifornia | $88.15 | — |
| San Benito County, CACalifornia | $90.10 | — |
| Santa Clara County, CACalifornia | $89.96 | — |
| San Luis Obispo, CACalifornia | $73.53 | — |
| Santa Cruz, CACalifornia | $77.37 | — |
| Santa Maria, CACalifornia | $75.05 | — |
| Santa Rosa, CACalifornia | $78.16 | — |
| Stockton, CACalifornia | $71.39 | — |
| Vallejo, CACalifornia | $83.10 | — |
| Visalia, CACalifornia | $71.39 | — |
| Yuba City, CACalifornia | $71.39 | — |
| ColoradoColorado | $69.96 | — |
| ConnecticutConnecticut | $71.16 | — |
| DelawareDelaware | $66.18 | — |
| Fort Lauderdale, FLFlorida | $68.26 | — |
| Rest of FloridaFlorida | $65.12 | — |
| Atlanta, GAGeorgia | $67.85 | — |
| Rest of GeorgiaGeorgia | $61.62 | — |
| Hawaii, Guam, HIHawaii | $73.20 | — |
| IowaIowa | $61.97 | — |
| IdahoIdaho | $62.29 | — |
| East St. Louis, ILIllinois | $63.84 | — |
| Rest of IllinoisIllinois | $63.04 | — |
| Suburban Chicago, ILIllinois | $69.03 | — |
| IndianaIndiana | $62.65 | — |
| KansasKansas | $61.53 | — |
| KentuckyKentucky | $61.19 | — |
| New Orleans, LALouisiana | $64.00 | — |
| Rest of LouisianaLouisiana | $61.04 | — |
| Metropolitan Boston, MAMassachusetts | $77.00 | — |
| Rest of MassachusettsMassachusetts | $69.49 | — |
| Baltimore area, MDMaryland | $70.93 | — |
| Rest of MarylandMaryland | $67.48 | — |
| Rest of MaineMaine | $62.44 | — |
| Southern Maine, MEMaine | $65.98 | — |
| Detroit, MIMichigan | $65.75 | — |
| Rest of MichiganMichigan | $62.60 | — |
| MinnesotaMinnesota | $67.54 | — |
| Metropolitan Kansas City, MOMissouri | $63.74 | — |
| Metropolitan St. Louis, MOMissouri | $64.41 | — |
| Rest of MissouriMissouri | $59.91 | — |
| MississippiMississippi | $59.62 | — |
| MontanaMontana | $66.80 | — |
| North CarolinaNorth Carolina | $63.11 | — |
| North DakotaNorth Dakota | $66.21 | — |
| NebraskaNebraska | $62.35 | — |
| New HampshireNew Hampshire | $68.72 | — |
| Northern New JerseyNew Jersey | $75.84 | — |
| Rest of New JerseyNew Jersey | $72.12 | — |
| NevadaNevada | $66.68 | — |
| NYC suburbs and Long Island, NYNew York | $78.09 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $72.46 | — |
| Queens, NYNew York | $77.33 | — |
| Rest of New YorkNew York | $64.02 | — |
| OhioOhio | $62.48 | — |
| OklahomaOklahoma | $61.25 | — |
| Portland, OROregon | $72.33 | — |
| Rest of OregonOregon | $66.31 | — |
| Metropolitan Philadelphia, PAPennsylvania | $69.32 | — |
| Rest of PennsylvaniaPennsylvania | $62.67 | — |
| Puerto RicoPuerto Rico | $67.33 | — |
| Rhode IslandRhode Island | $68.64 | — |
| South CarolinaSouth Carolina | $62.87 | — |
| South DakotaSouth Dakota | $66.14 | — |
| TennesseeTennessee | $61.81 | — |
| Austin, TXTexas | $69.61 | — |
| Beaumont, TXTexas | $62.25 | — |
| Brazoria, TXTexas | $66.26 | — |
| Dallas, TXTexas | $66.60 | — |
| Fort Worth, TXTexas | $66.12 | — |
| Galveston, TXTexas | $66.41 | — |
| Houston, TXTexas | $66.96 | — |
| Rest of TexasTexas | $64.17 | — |
| UtahUtah | $63.71 | — |
| VirginiaVirginia | $65.66 | — |
| Virgin Islands, VIUnited States Virgin Islands | $67.33 | — |
| VermontVermont | $65.81 | — |
| Rest of WashingtonWashington | $69.41 | — |
| King County, WAWashington | $78.72 | — |
| WisconsinWisconsin | $64.02 | — |
| West VirginiaWest Virginia | $60.71 | — |
| WyomingWyoming | $66.54 | — |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $77.60 | 1 |
| AL | $60.15 | 1 |
| AR | $59.30 | 1 |
| AZ | $65.11 | 1 |
| CA | $71.39–$90.10 | 29 |
| CO | $69.96 | 1 |
| CT | $71.16 | 1 |
| DC | $76.64 | 1 |
| DE | $66.18 | 1 |
| FL | $65.12–$70.37 | 3 |
| GA | $61.62–$67.85 | 2 |
| GU | $73.20 | 1 |
| HI | $73.20 | 1 |
| IA | $61.97 | 1 |
| ID | $62.29 | 1 |
| IL | $63.04–$69.03 | 4 |
| IN | $62.65 | 1 |
| KS | $61.53 | 1 |
| KY | $61.19 | 1 |
| LA | $61.04–$64.00 | 2 |
| MA | $69.49–$77.00 | 2 |
| MD | $67.48–$76.64 | 3 |
| ME | $62.44–$65.98 | 2 |
| MI | $62.60–$65.75 | 2 |
| MN | $67.54 | 1 |
| MO | $59.91–$64.41 | 3 |
| MS | $59.62 | 1 |
| MT | $66.80 | 1 |
| NC | $63.11 | 1 |
| ND | $66.21 | 1 |
| NE | $62.35 | 1 |
| NH | $68.72 | 1 |
| NJ | $72.12–$75.84 | 2 |
| NM | $62.87 | 1 |
| NV | $66.68 | 1 |
| NY | $64.02–$78.09 | 5 |
| OH | $62.48 | 1 |
| OK | $61.25 | 1 |
| OR | $66.31–$72.33 | 2 |
| PA | $62.67–$69.32 | 2 |
| PR | $67.33 | 1 |
| RI | $68.64 | 1 |
| SC | $62.87 | 1 |
| SD | $66.14 | 1 |
| TN | $61.81 | 1 |
| TX | $62.25–$69.61 | 8 |
| UT | $63.71 | 1 |
| VA | $65.66–$76.64 | 2 |
| VI | $67.33 | 1 |
| VT | $65.81 | 1 |
| WA | $69.41–$78.72 | 2 |
| WI | $64.02 | 1 |
| WV | $60.71 | 1 |
| WY | $66.54 | 1 |
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.
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.48 | × 1.000 | 0.4800 |
| Practice expense | 1.49 | × 0.917 | 1.3663 |
| Malpractice | 0.03 | × 1.201 | 0.0360 |
| Total RVUs | 1.8824 | ||
| 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
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.
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.
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
$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.
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.
March 9, 2024
RVU24AR
$59.71changed to$60.70
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
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
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.
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.
January 1, 2021
RVU21A
No ratechanged to$68.75
Held through RVU21B, RVU21C, RVU21D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $62.87 | Not available in this setting | RVU26D |
| 2026-07-01 | $62.87 | Not available in this setting | RVU26C |
| 2026-04-01 | $62.87 | Not available in this setting | RVU26B |
| 2026-01-01 | $62.87 | Not available in this setting | RVU26A |
| 2025-10-01 | $59.28 | Not available in this setting | RVU25D |
| 2025-07-01 | $59.28 | Not available in this setting | RVU25C |
| 2025-04-01 | $59.28 | Not available in this setting | RVU25B |
| 2025-01-01 | $59.28 | Not available in this setting | RVU25A |
| 2024-10-01 | $60.70 | Not available in this setting | RVU24D |
| 2024-07-01 | $60.70 | Not available in this setting | RVU24C |
| 2024-04-01 | $60.70 | Not available in this setting | RVU24B |
| 2024-03-09 | $60.70 | Not available in this setting | RVU24AR |
| 2024-01-01 | $59.71 | Not available in this setting | RVU24A |
| 2023-10-01 | $71.68 | Not available in this setting | RVU23D |
| 2023-07-01 | $71.68 | Not available in this setting | RVU23C |
| 2023-04-01 | $71.68 | Not available in this setting | RVU23B |
| 2023-01-01 | $71.68 | Not available in this setting | RVU23A |
| 2022-10-01 | $64.99 | Not available in this setting | RVU22D |
| 2022-07-01 | $64.99 | Not available in this setting | RVU22C |
| 2022-04-01 | $64.99 | Not available in this setting | RVU22B |
| 2022-01-01 | $64.99 | Not available in this setting | RVU22A |
| 2021-10-01 | $68.75 | Not available in this setting | RVU21D |
| 2021-07-01 | $68.75 | Not available in this setting | RVU21C |
| 2021-04-01 | $68.75 | Not available in this setting | RVU21B |
| 2021-01-01 | $68.75 | Not available in this setting | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | 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
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
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