CPT code 94728: Airway resistance, oscillometry2026 Medicare rate & RVUs

Measures respiratory resistance and related mechanics during quiet breathing with oscillometry, often as part of evaluating obstructive airway symptoms or disease.

CMS RVU26DEffective Oct 1, 2026109 payment localities2.8K Medicare services in 2024

Medicare pays $48.10 for 94728 nationally in the office. Local office rates run $42.26–$65.98.

Medicare rate · 94728

Airway resistance, oscillometry

Office or facility?

Work RVUs
0.25
Total RVUs
1.44
Global days
XXX

National rate · 2026

$48.10

Office setting, before claim adjustments.

See every locality for 94728 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 94728 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 94728 covers

Oscillometry assesses respiratory-system mechanics by applying small pressure oscillations while the patient breathes quietly through a mouthpiece. The test measures airway resistance and related responses without requiring repeated forceful expiratory maneuvers. Pulmonary function laboratories commonly perform it under the direction of pulmonologists, allergists, or other clinicians evaluating conditions such as asthma or obstructive lung disease; it can also provide measurements when a patient has difficulty completing effort-dependent testing.

Report 94728 for the oscillometry test itself, not for spirometry, lung-volume measurement, or gas-transfer testing. Documentation should identify the test performed and include the recorded results and the interpreting clinician’s findings. CMS recognizes a professional component, reported with modifier 26 for interpretation, and a technical component, reported with modifier TC for equipment and staff. Reporting the code without either modifier represents the global service, including both components.

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 94728 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$42.26 to $65.98

$42.26$54.12$65.98
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

94728 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$42.92Unavailable
Alaska$54.51Unavailable
Arizona$46.79Unavailable
Arkansas$42.26Unavailable
Atlanta, GA$48.88Unavailable
Austin, TX$50.30Unavailable
Bakersfield, CA$51.75Unavailable
Baltimore area, MD$51.24Unavailable
Beaumont, TX$44.53Unavailable
Brazoria, TX$47.67Unavailable

94728 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.

$42.26

$58.83

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

View every state and territory as a table
94728 office rate range by state
State / territoryOffice rate rangeLocalities
AK$54.511
AL$42.921
AR$42.261
AZ$46.791
CA$51.68–$65.9829
CO$50.551
CT$51.411
DC$55.581
DE$47.601
FL$46.71–$50.723
GA$44.01–$48.882
GU$53.171
HI$53.171
IA$44.371
ID$44.621
IL$45.07–$49.734
IN$44.901
KS$44.011
KY$43.701
LA$43.58–$45.882
MA$50.17–$55.952
MD$48.59–$55.583
ME$44.72–$47.502
MI$44.78–$47.192
MN$48.761
MO$42.69–$46.223
MS$42.491
MT$48.101
NC$45.241
ND$47.701
NE$44.671
NH$49.621
NJ$52.09–$54.922
NM$44.991
NV$48.021
NY$45.94–$56.595
OH$44.701
OK$43.771
OR$47.74–$52.402
PA$44.86–$49.982
PR$48.521
RI$49.471
SC$45.031
SD$47.651
TN$44.231
TX$44.53–$50.308
UT$45.681
VA$47.24–$55.582
VI$48.521
VT$47.381
WA$50.12–$57.262
WI$45.991
WV$43.271
WY$47.921

How the 94728 rate is calculated

Each of 94728’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 · 94728

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.25

0.25 RVUs× 1.000 GPCI

Practice expense1.17

1.17 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

1.4400

Conversion factor

$33.4009

Medicare rate

$48.10

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

Payment rules and modifiers for 94728

The CMS indicators that decide how 94728 is paid alongside other services.

CMS payment indicators · 94728

Airway resistance, oscillometry

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

94728 without 26 · national office

$48.10

Airway resistance, oscillometry

94728-26 · Professional component

$12.36

Pays only the interpretation and report.

When to use modifier 26

94728 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 94728

    Airway resistance, oscillometry0.25 wRVU

    $48.10

  • 94010

    Spirometry, no post-bronchodilator comparison0.17 wRVU

    $29.73−$18.37

  • 94726

    Body plethysmography, lung volumes, plethysmographic method0.25 wRVU

    $63.80+$15.70

  • 94727

    Lung volumes, gas dilution or washout0.25 wRVU

    $49.77+$1.67

How to choose

94010SpirometryNo post-bronchodilator comparison
Choose 94728 for oscillometry measurements made during quiet breathing. Choose 94010 when the service is spirometry measuring airflow and volume during breathing maneuvers.
94726Body plethysmographyLung volumes, plethysmographic method
94726 measures lung volumes by plethysmography; 94728 measures respiratory mechanics using oscillometry. They describe different tests.
94727Lung volumesGas dilution or washout
94727 measures lung volumes by gas dilution or washout. It is not the code for oscillometry-based airway resistance testing.

94728 billing questions

How is oscillometry different from spirometry?

Oscillometry measures respiratory mechanics during quiet breathing using applied pressure oscillations. Spirometry measures airflow and volume during breathing maneuvers, including forced expiration.

Can 94728 be reported with lung-volume testing?

Yes, when oscillometry and a distinct lung-volume test are both performed and documented. The lung-volume service is separate from the oscillometry measurement.

What do modifiers 26 and TC represent?

Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service, including equipment and staff. Without either modifier, 94728 represents the global service.

What documentation supports reporting 94728?

Document that oscillometry was performed, the results obtained, and the clinician’s interpretation. For component billing, the record should support the professional or technical service represented by the modifier.

Is airway resistance by oscillometry the same as lung-volume measurement?

No. Oscillometry evaluates respiratory-system mechanics during quiet breathing; lung-volume tests measure volumes of air in the lungs using a different testing method.

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 94728PPRRVU2026_Oct_nonQPP.csv, line 12,436 (RVU26D)

Open CMS sourceHow we calculate rates

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