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CMS RVU26D · Effective 2026-10-01

94016 in Austin

Office / nonfacility

$25.08

Base rate per service

Facility setting

$25.08

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Pulmonary function testing

About 94016: Patient-recorded spirometry interpretation

Reports a clinician’s interpretation of patient-initiated spirometry recordings collected during a 30-day monitoring period, separate from the technical service.

This service covers a physician’s or other qualified health care professional’s review of spirometry recordings initiated by the patient, interpretation of the results, and a report. Patients typically make recordings with a spirometer outside the clinic as part of monitoring lung function over time; the clinician reviews the submitted data rather than performing a single office spirometry session. Pulmonary and primary care practices may use this service when following patients whose care includes home spirometry monitoring.

Report 94016 for the professional review and interpretation associated with a 30-day period, not for each individual recording. Documentation should identify the monitoring period, show that patient-initiated spirometry data were reviewed, and include the clinician’s interpretation and report. CMS classifies 94016 as professional-component-only; the technical portion is represented separately. When the recording service is reported under a separate technical code, keep the interpretation distinct from the equipment, recording, and data-handling work.

CMS billing rules for 94016

Professional and technical components
Professional-component-only code: interpretation and report; a separate code covers the technical portion.

Where the value comes from

  • Work RVU0.51 · 69%
  • Practice expense (office) RVU0.21 · 28%
  • Malpractice RVU0.02 · 3%

6.8K

Medicare services in 2024 · #1676 by national volume

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.

94016 compared with similar codes

Office rates for Austin, from the same CMS release.

94014

Remote spirometry

30-day recording

$62.13

94014 covers the technical recording service. Use 94016 for the clinician’s review, interpretation, and report.

94015

Remote spirometry

Technical recording component

$37.05

94015 represents the broader patient-initiated spirometry service, while 94016 is limited to professional interpretation and reporting.

94010

Spirometry

No post-bronchodilator comparison

$31.02

94010 is for a spirometry testing session; 94016 is for clinician review of patient-initiated recordings collected during a monitoring period.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 94016 is $24.04—$1.04 lower than the $25.08 rate in Austin. Both use the same code, release and participation basis.

94016 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $25.08

  2. Beaumont

    $24.04

    $1.04 lower than Austin

  3. Brazoria

    $24.64

    $0.44 lower than Austin

  4. Dallas

    $24.75

    $0.33 lower than Austin

  5. Fort Worth

    $24.69

    $0.39 lower than Austin

  6. Galveston

    $24.69

    $0.39 lower than Austin

  7. Houston

    $25.06

    $0.02 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 94016 ranges from $23.40 in Arkansas to $33.39 in Alaska*. This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 94016

    Office

    $24.29

    Facility

    $24.29

    $0.79 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 94016

    Office

    $26.47

    Facility

    $26.47

    $1.39 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 94016

    Office

    $26.96

    Facility

    $26.96

    $1.88 higher than Austin for the office setting.

  • Miami

    Florida · 94016

    Office

    $26.03

    Facility

    $26.03

    $0.95 higher than Austin for the office setting.

  • Chicago

    Illinois · 94016

    Office

    $25.74

    Facility

    $25.74

    $0.66 higher than Austin for the office setting.

  • Manhattan

    New York · 94016

    Office

    $27.33

    Facility

    $27.33

    $2.25 higher than Austin for the office setting.

  • Alaska*

    Alaska · 94016

    Office

    $33.39

    Facility

    $33.39

    $8.31 higher than Austin for the office setting.

  • Alabama

    Alabama · 94016

    Office

    $23.55

    Facility

    $23.55

    $1.53 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 94016

    Office

    $23.40

    Facility

    $23.40

    $1.68 lower than Austin for the office setting.

  • Arizona

    Arizona · 94016

    Office

    $24.40

    Facility

    $24.40

    $0.68 lower than Austin for the office setting.

  • Bakersfield

    California · 94016

    Office

    $25.45

    Facility

    $25.45

    $0.37 higher than Austin for the office setting.

  • Chico

    California · 94016

    Office

    $25.37

    Facility

    $25.37

    $0.29 higher than Austin for the office setting.

  • El Centro

    California · 94016

    Office

    $25.37

    Facility

    $25.37

    $0.29 higher than Austin for the office setting.

  • Fresno

    California · 94016

    Office

    $25.37

    Facility

    $25.37

    $0.29 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 94016

    Office

    $25.37

    Facility

    $25.37

    $0.29 higher than Austin for the office setting.

  • Madera

    California · 94016

    Office

    $25.37

    Facility

    $25.37

    $0.29 higher than Austin for the office setting.

  • Merced

    California · 94016

    Office

    $25.37

    Facility

    $25.37

    $0.29 higher than Austin for the office setting.

  • Modesto

    California · 94016

    Office

    $25.37

    Facility

    $25.37

    $0.29 higher than Austin for the office setting.

  • Napa

    California · 94016

    Office

    $27.69

    Facility

    $27.69

    $2.61 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 94016

    Office

    $26.22

    Facility

    $26.22

    $1.14 higher than Austin for the office setting.

  • Redding

    California · 94016

    Office

    $25.37

    Facility

    $25.37

    $0.29 higher than Austin for the office setting.

  • Rest Of California

    California · 94016

    Office

    $25.37

    Facility

    $25.37

    $0.29 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 94016

    Office

    $25.60

    Facility

    $25.60

    $0.52 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 94016

    Office

    $26.16

    Facility

    $26.16

    $1.08 higher than Austin for the office setting.

  • Salinas

    California · 94016

    Office

    $26.05

    Facility

    $26.05

    $0.97 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 94016

    Office

    $26.30

    Facility

    $26.30

    $1.22 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 94016

    Office

    $28.85

    Facility

    $28.85

    $3.77 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 94016

    Office

    $28.83

    Facility

    $28.83

    $3.75 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 94016

    Office

    $29.38

    Facility

    $29.38

    $4.30 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 94016

    Office

    $29.29

    Facility

    $29.29

    $4.21 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 94016

    Office

    $25.67

    Facility

    $25.67

    $0.59 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 94016

    Office

    $26.27

    Facility

    $26.27

    $1.19 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 94016

    Office

    $26.05

    Facility

    $26.05

    $0.97 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 94016

    Office

    $26.52

    Facility

    $26.52

    $1.44 higher than Austin for the office setting.

  • Stockton

    California · 94016

    Office

    $25.37

    Facility

    $25.37

    $0.29 higher than Austin for the office setting.

  • Vallejo

    California · 94016

    Office

    $27.66

    Facility

    $27.66

    $2.58 higher than Austin for the office setting.

  • Visalia

    California · 94016

    Office

    $25.37

    Facility

    $25.37

    $0.29 higher than Austin for the office setting.

  • Yuba City

    California · 94016

    Office

    $25.37

    Facility

    $25.37

    $0.29 higher than Austin for the office setting.

  • Colorado

    Colorado · 94016

    Office

    $25.22

    Facility

    $25.22

    $0.14 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 94016

    Office

    $25.74

    Facility

    $25.74

    $0.66 higher than Austin for the office setting.

  • Delaware

    Delaware · 94016

    Office

    $24.65

    Facility

    $24.65

    $0.43 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 94016

    Office

    $25.35

    Facility

    $25.35

    $0.27 higher than Austin for the office setting.

  • Rest Of Florida

    Florida · 94016

    Office

    $24.74

    Facility

    $24.74

    $0.34 lower than Austin for the office setting.

  • Atlanta

    Georgia · 94016

    Office

    $25.01

    Facility

    $25.01

    $0.07 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 94016

    Office

    $24.09

    Facility

    $24.09

    $0.99 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 94016

    Office

    $25.40

    Facility

    $25.40

    $0.32 higher than Austin for the office setting.

  • Iowa

    Iowa · 94016

    Office

    $23.72

    Facility

    $23.72

    $1.36 lower than Austin for the office setting.

  • Idaho

    Idaho · 94016

    Office

    $23.80

    Facility

    $23.80

    $1.28 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 94016

    Office

    $24.83

    Facility

    $24.83

    $0.25 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 94016

    Office

    $24.48

    Facility

    $24.48

    $0.60 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 94016

    Office

    $25.54

    Facility

    $25.54

    $0.46 higher than Austin for the office setting.

  • Indiana

    Indiana · 94016

    Office

    $23.86

    Facility

    $23.86

    $1.22 lower than Austin for the office setting.

  • Kansas

    Kansas · 94016

    Office

    $23.71

    Facility

    $23.71

    $1.37 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 94016

    Office

    $23.88

    Facility

    $23.88

    $1.20 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 94016

    Office

    $24.39

    Facility

    $24.39

    $0.69 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 94016

    Office

    $23.88

    Facility

    $23.88

    $1.20 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 94016

    Office

    $26.70

    Facility

    $26.70

    $1.62 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 94016

    Office

    $25.23

    Facility

    $25.23

    $0.15 higher than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 94016

    Office

    $25.66

    Facility

    $25.66

    $0.58 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 94016

    Office

    $24.92

    Facility

    $24.92

    $0.16 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 94016

    Office

    $23.90

    Facility

    $23.90

    $1.18 lower than Austin for the office setting.

  • Southern Maine

    Maine · 94016

    Office

    $24.41

    Facility

    $24.41

    $0.67 lower than Austin for the office setting.

  • Detroit

    Michigan · 94016

    Office

    $24.93

    Facility

    $24.93

    $0.15 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 94016

    Office

    $24.19

    Facility

    $24.19

    $0.89 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 94016

    Office

    $24.45

    Facility

    $24.45

    $0.63 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 94016

    Office

    $24.27

    Facility

    $24.27

    $0.81 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 94016

    Office

    $24.38

    Facility

    $24.38

    $0.70 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 94016

    Office

    $23.73

    Facility

    $23.73

    $1.35 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 94016

    Office

    $23.57

    Facility

    $23.57

    $1.51 lower than Austin for the office setting.

  • Montana**

    Montana · 94016

    Office

    $24.72

    Facility

    $24.72

    $0.36 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 94016

    Office

    $24.01

    Facility

    $24.01

    $1.07 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 94016

    Office

    $24.32

    Facility

    $24.32

    $0.76 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 94016

    Office

    $23.76

    Facility

    $23.76

    $1.32 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 94016

    Office

    $24.92

    Facility

    $24.92

    $0.16 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 94016

    Office

    $26.96

    Facility

    $26.96

    $1.88 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 94016

    Office

    $26.11

    Facility

    $26.11

    $1.03 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 94016

    Office

    $24.27

    Facility

    $24.27

    $0.81 lower than Austin for the office setting.

  • Nevada**

    Nevada · 94016

    Office

    $24.61

    Facility

    $24.61

    $0.47 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 94016

    Office

    $27.71

    Facility

    $27.71

    $2.63 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 94016

    Office

    $26.29

    Facility

    $26.29

    $1.21 higher than Austin for the office setting.

  • Queens

    New York · 94016

    Office

    $27.38

    Facility

    $27.38

    $2.30 higher than Austin for the office setting.

  • Rest Of New York

    New York · 94016

    Office

    $24.17

    Facility

    $24.17

    $0.91 lower than Austin for the office setting.

  • Ohio

    Ohio · 94016

    Office

    $24.11

    Facility

    $24.11

    $0.97 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 94016

    Office

    $23.82

    Facility

    $23.82

    $1.26 lower than Austin for the office setting.

  • Portland

    Oregon · 94016

    Office

    $25.60

    Facility

    $25.60

    $0.52 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 94016

    Office

    $24.49

    Facility

    $24.49

    $0.59 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 94016

    Office

    $25.44

    Facility

    $25.44

    $0.36 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 94016

    Office

    $24.10

    Facility

    $24.10

    $0.98 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 94016

    Office

    $24.78

    Facility

    $24.78

    $0.30 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 94016

    Office

    $25.20

    Facility

    $25.20

    $0.12 higher than Austin for the office setting.

  • South Carolina

    South Carolina · 94016

    Office

    $24.08

    Facility

    $24.08

    $1.00 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 94016

    Office

    $24.27

    Facility

    $24.27

    $0.81 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 94016

    Office

    $23.77

    Facility

    $23.77

    $1.31 lower than Austin for the office setting.

  • Utah

    Utah · 94016

    Office

    $24.23

    Facility

    $24.23

    $0.85 lower than Austin for the office setting.

  • Virginia

    Virginia · 94016

    Office

    $24.40

    Facility

    $24.40

    $0.68 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 94016

    Office

    $24.78

    Facility

    $24.78

    $0.30 lower than Austin for the office setting.

  • Vermont

    Vermont · 94016

    Office

    $24.32

    Facility

    $24.32

    $0.76 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 94016

    Office

    $25.15

    Facility

    $25.15

    $0.07 higher than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 94016

    Office

    $27.04

    Facility

    $27.04

    $1.96 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 94016

    Office

    $23.96

    Facility

    $23.96

    $1.12 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 94016

    Office

    $24.09

    Facility

    $24.09

    $0.99 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 94016

    Office

    $24.54

    Facility

    $24.54

    $0.54 lower than Austin for the office setting.

See how rates vary across the country

94016 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$23.40

$33.39

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$33.391
AL$23.551
AR$23.401
AZ$24.401
CA$25.37–$29.3829
CO$25.221
CT$25.741
DC$26.961
DE$24.651
FL$24.74–$26.033
GA$24.09–$25.012
GU$25.401
HI$25.401
IA$23.721
ID$23.801
IL$24.48–$25.744
IN$23.861
KS$23.711
KY$23.881
LA$23.88–$24.392
MA$25.23–$26.702
MD$24.92–$26.963
ME$23.90–$24.412
MI$24.19–$24.932
MN$24.451
MO$23.73–$24.383
MS$23.571
MT$24.721
NC$24.011
ND$24.321
NE$23.761
NH$24.921
NJ$26.11–$26.962
NM$24.271
NV$24.611
NY$24.17–$27.715
OH$24.111
OK$23.821
OR$24.49–$25.602
PA$24.10–$25.442
PR$24.781
RI$25.201
SC$24.081
SD$24.271
TN$23.771
TX$24.04–$25.088
UT$24.231
VA$24.40–$26.962
VI$24.781
VT$24.321
WA$25.15–$27.042
WI$23.961
WV$24.091
WY$24.541

Explore 94016 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 94016 in Austin, the physician’s office rate is $25.08 and the facility-setting rate is $25.08: a difference of $0.00.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 94016 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$27.59

$25.08 × 110% = $27.59

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 94016 in Austin.

PPRRVU2026_Oct_nonQPP.csv

12,372

Code
94016
Physician work
0.51
Practice expense
0.21
Malpractice
0.02

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 94016 in Austin
ComponentRVULocality factorAdjusted
Physician work0.51× 1.0020.5110
Practice expense0.21× 1.0580.2222
Malpractice0.02× 0.8860.0177
Total RVUs0.7509
Conversion factor× 33.4009

Office / nonfacility rate, Austin$25.08

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 94016 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.511.002
Practice expense0.211.058
Malpractice0.020.886

(0.51 × 1.002 + 0.21 × 1.058 + 0.02 × 0.886) × $33.4009 = $25.08

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.511.002
Practice expense0.211.058
Malpractice0.020.886

(0.51 × 1.002 + 0.21 × 1.058 + 0.02 × 0.886) × $33.4009 = $25.08

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

94016 · Office / nonfacility

$25.08

Effective 2026-10-01

The base rate is $1.58 higher than on 2025-10-01, moving from $23.50 to $25.08 (6.7%).

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

    $23.50changed to$25.08

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.52 changed to 0.51
    • Practice expense RVU 0.18 changed to 0.21
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $23.50

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$25.08$25.08RVU26D
2026-07-01$25.08$25.08RVU26C
2026-04-01$25.08$25.08RVU26B
2026-01-01$25.08$25.08RVU26A
2025-10-01$23.50$23.50RVU25D
2025-07-01$23.50$23.50RVU25C
2025-04-01$23.50$23.50RVU25B
2025-01-01$23.50$23.50RVU25A

94016 billing questions

How does 94016 differ from 94014?

94016 represents professional review, interpretation, and reporting. Code 94014 represents the technical recording service.

Can 94016 be reported with 94014?

Yes, when the technical recording service and the professional interpretation are both furnished and documented for the monitoring period.

Does 94016 need modifier 26?

No modifier is needed to identify the professional component; 94016 is already a professional-component-only code.

Is 94016 reported for each home spirometry maneuver?

No. The code is for review and reporting over a 30-day period, rather than for each individual recording.

What documentation supports 94016?

Keep the monitoring period, evidence that the patient-initiated recordings were reviewed, the clinician’s interpretation, and the resulting report.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 94016PPRRVU2026_Oct_nonQPP.csv, line 12,372 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet