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CMS RVU26D · Effective 2026-10-01

94617 Exercise bronchospasm test Medicare reimbursement rates in Guam

Reports exercise testing with ECG and spirometry to evaluate suspected exercise-induced bronchospasm, such as airway narrowing triggered by exertion. Compare 94617 office and facility rates across CMS payment localities in Guam.

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 94617 in Guam?

Guam 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

$102.10

1 of 1 localities have a supported rate.

Payment area: Hawaii, Guam

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.

Find 94617 in your payment locality →

Pulmonary testing

About 94617: Exercise bronchospasm test with ECG

Reports exercise testing with ECG and spirometry to evaluate suspected exercise-induced bronchospasm, such as airway narrowing triggered by exertion.

This test evaluates whether exertion provokes bronchospasm by comparing pulmonary function before and after exercise, with ECG recording during the test. It is commonly used when a patient reports wheezing, cough, chest tightness, or breathlessness during or after activity and the clinician needs objective evidence of exercise-related airflow changes. A pulmonologist, allergist, or other qualified clinician may supervise and interpret the test, with trained staff assisting in an office or facility setting.

Report 94617 when the exercise bronchospasm evaluation includes ECG recording; use the no-ECG sibling when ECG is not part of the test. Documentation should identify the exertional symptoms or diagnostic question, exercise performed, pulmonary function findings before and after exertion, ECG recording, and the clinician’s interpretation. CMS recognizes professional and technical components: report modifier 26 for interpretation, modifier TC for equipment and staff, or neither modifier for the global service.

CMS billing rules for 94617

Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.

Where the value comes from

  • Work RVU0.68 · 24%
  • Practice expense (office) RVU2.07 · 74%
  • Malpractice RVU0.04 · 1%

6K

Medicare services in 2024 · #1760 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.

94617 compared with similar codes

Office rates for Guam, from the same CMS release.

94619

Exercise challenge

Without ECG recording

$73.20

Both evaluate exercise-related bronchospasm. Use 94617 when ECG recording is part of the test and 94619 when it is not.

94618

Pulmonary stress test

Simple exercise assessment

$39.44

94618 is pulmonary stress testing, commonly used to assess exercise response such as oxygenation or exercise capacity; 94617 tests for exercise-provoked bronchospasm and includes ECG recording.

94621

Exercise test

Cardiopulmonary gas analysis

$180.37

94621 is cardiopulmonary exercise testing for a broader assessment of exercise physiology. Use 94617 when the question is specifically whether exercise provokes bronchospasm.

Compare 94617 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

Office and facility base rates · shared scale starting at $0

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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 94617 in Hawaii, Guam.

PPRRVU2026_Oct_nonQPP.csv

12,398

Code
94617
Physician work
0.68
Practice expense
2.07
Malpractice
0.04

GPCI2026.csv

46

Locality
Hawaii, Guam
Physician work
1.000
Practice expense
1.137
Malpractice
0.579
Office / nonfacility calculation for 94617 in Hawaii, Guam
ComponentRVULocality factorAdjusted
Physician work0.68× 1.0000.6800
Practice expense2.07× 1.1372.3536
Malpractice0.04× 0.5790.0232
Total RVUs3.0567
Conversion factor× 33.4009

Office / nonfacility rate, Hawaii, Guam$102.10

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.681
Practice expense2.071.137
Malpractice0.040.579

(0.68 × 1 + 2.07 × 1.137 + 0.04 × 0.579) × $33.4009 = $102.10

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.

94617 billing questions

When should 94617 be chosen over 94619?

Choose 94617 when the exercise bronchospasm test includes ECG recording. Code 94619 is the corresponding option when the test is performed without ECG.

Can the professional and technical services be billed separately?

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

Is ECG recording included in this test?

ECG recording is part of the distinction between 94617 and its no-ECG sibling, 94619. The documentation should support that ECG was included in the exercise evaluation.

What documentation supports reporting 94617?

Document the reason for evaluating exertional symptoms, the exercise performed, pulmonary function results before and after exercise, ECG recording, and the interpreting clinician’s findings.

How does 94617 differ from pulmonary stress testing?

94617 evaluates exercise-provoked bronchospasm and includes ECG recording. Code 94618 is used for pulmonary stress testing focused on exercise response rather than this bronchospasm test.

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 94617PPRRVU2026_Oct_nonQPP.csv, line 12,398 (RVU26D)
Geographic factors for Hawaii, GuamGPCI2026.csv, line 46 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet