$127.96
Use 95076 for an oral ingestion challenge. Use 95070 when the challenge agent is inhaled to assess airway responsiveness.
On this page
CMS RVU26D · Effective 2026-10-01
95070 Bronchial challenge Medicare reimbursement rates in Colorado
Reports the technical portion of an inhaled bronchial challenge, such as methacholine testing, used to assess airway responsiveness when asthma is suspected. Compare 95070 office and facility rates across CMS payment localities in Colorado.
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.
What does Medicare pay for 95070 in Colorado?
Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$42.01
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Pulmonary testing
About 95070: Inhaled bronchial challenge testing
Reports the technical portion of an inhaled bronchial challenge, such as methacholine testing, used to assess airway responsiveness when asthma is suspected.
This service assesses how the airways respond to an inhaled challenge agent. A pulmonary function laboratory or allergy clinic commonly performs the test, with trained staff administering the agent and measuring pulmonary function at intervals. Methacholine challenge is a familiar example when symptoms suggest asthma but routine testing has not established variable airflow obstruction. The test is distinct from skin testing for allergen sensitization and from measuring exhaled nitric oxide.
Select 95070 for the technical testing, not for interpretation alone. Documentation should identify the clinical indication, challenge agent and protocol, and the pulmonary function measurements and response used to conduct the test. CMS classifies 95070 as a technical-component-only code; a separate code, 95071, covers interpretation and report. Report that interpretation service only when it is performed and documented.
CMS billing rules for 95070
- Professional and technical components
- Technical-component-only code: a separate code covers interpretation.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU1.16 · 97%
- Malpractice RVU0.03 · 3%
1.8K
Medicare services in 2024 · #2543 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.
95070 compared with similar codes
Office rates for Colorado, from the same CMS release.
$20.87
95012 measures exhaled nitric oxide. It does not describe an inhaled agent challenge with pulmonary function measurements.
$3.80
95004 reports percutaneous allergen testing for sensitization; 95070 evaluates the airways’ response to an inhaled challenge agent.
Compare 95070 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Colorado →
Office / nonfacility
$42.01
Facility
Unavailable
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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 95070 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
12,469
- Code
- 95070
- Physician work
- 0.00
- Practice expense
- 1.16
- Malpractice
- 0.03
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.012 | 0.0000 |
| Practice expense | 1.16 | × 1.064 | 1.2342 |
| Malpractice | 0.03 | × 0.781 | 0.0234 |
| Total RVUs | 1.2577 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Colorado$42.01
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1.012 |
| Practice expense | 1.16 | 1.064 |
| Malpractice | 0.03 | 0.781 |
(0 × 1.012 + 1.16 × 1.064 + 0.03 × 0.781) × $33.4009 = $42.01
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.
95070 billing questions
When should 95070 be used instead of allergy skin testing?
Use 95070 for an inhaled challenge that evaluates airway responsiveness, such as a methacholine test. Skin testing, including 95004, evaluates sensitization to allergen extracts rather than the airways’ response to inhalation.
Does 95070 include interpretation of the results?
No. CMS identifies 95070 as technical-component-only; 95071 is the separate interpretation-and-report code.
What documentation supports 95070?
Document the reason for the challenge, the inhaled agent and testing protocol, and the pulmonary function measurements and response recorded during testing.
Can 95070 be used for an oral food challenge?
No. 95070 is for an inhaled bronchial challenge. Oral ingestion challenges are reported with the applicable ingestion-challenge codes, such as 95076 and, when appropriate, 95079.
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.
12,46695056,,Photo tests,A,,0.00,1.53,,1.53,NA,0.02,1.55,1.55,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,46795060,,Oph mucous membrane tests,A,,0.00,1.21,,1.21,NA,0.01,1.22,1.22,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
12,46895065,,Dir nsl mucous membrane test,A,,0.00,0.83,,0.83,NA,0.01,0.84,0.84,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
12,46995070,,Inhlj brncl challenge tstg,A,,0.00,1.16,,1.16,NA,0.03,1.19,1.19,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,47095076,,Ingest challenge ini 120 min,A,,1.50,2.13,,0.31,,0.06,3.69,1.87,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,47195079,,Ingest challenge addl 60 min,A,,1.38,1.11,,0.29,,0.05,2.54,1.72,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,47295115,,Immunotherapy one injection,A,,0.00,0.30,,0.30,NA,0.01,0.31,0.31,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899