CPT code 95012: FeNO test, exhaled nitric oxide level2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $19.48 for 95012 in the office.

Check a contract rate as a % of Medicare · 95012 nationwide

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

What 95012 covers

This office-based test measures nitric oxide in a patient’s exhaled breath, typically with a dedicated analyzer and a controlled breathing maneuver. Allergy and immunology, pulmonary, and other clinicians use the result as one measure of eosinophilic airway inflammation, often when evaluating asthma or monitoring response to anti-inflammatory treatment. Trained clinical staff may perform the breathing procedure under physician supervision.

Report 95012 for the FeNO measurement, not for each breath used to obtain a valid result. Documentation should identify the clinical reason for testing and include the measured result. CMS treats this as an incident-to service: it may be billed only when performed under physician supervision. The code does not describe airflow testing; spirometry or a bronchial challenge addresses different aspects of respiratory function and may be reported when separately performed.

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 South Dakota compares for 95012

Across 109 of 109 payment localities, the office rate for 95012 runs from $16.81 in Arkansas to $28.11 in San Benito County, CA. South Dakota pays $19.48. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

95012 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 95012 in every payment locality

How the 95012 rate is calculated

Each of 95012’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.

Payment rules and modifiers for 95012

The CMS indicators that decide how 95012 is paid alongside other services.

Codes related to 95012

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 95012 has changed in South Dakota

Price 95012 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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

Open CMS sourceHow we calculate rates