$63.04–$69.03
Both evaluate exercise-related bronchospasm. Use 94617 when ECG recording is part of the test and 94619 when it is not.
On this page
CMS RVU26D · Effective 2026-10-01
94617 Exercise bronchospasm test Medicare reimbursement rates in Illinois
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 Illinois.
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 Illinois?
Illinois has 4 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 4 payment areas shown below, using the same CMS release.
Office / nonfacility
$87.93–$96.25
4 of 4 localities have a supported rate.
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.
Where 94617 pays more and less in Illinois
4 payment localities
$87.93 to $96.25
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 Illinois, from the same CMS release.
$35.87–$38.58
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.
$157.22–$171.46
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.
4 of 4 payment localities
Chicago →
Office / nonfacility
$95.42
Facility
Unavailable
East St. Louis →
Office / nonfacility
$89.01
Facility
Unavailable
Rest Of Illinois →
Office / nonfacility
$87.93
Facility
Unavailable
Suburban Chicago →
Office / nonfacility
$96.25
Facility
Unavailable
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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.
12,39594453,26,Hast w/suppl oxygen titrj,A,,0.39,0.16,,0.16,,0.02,0.57,0.57,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,39694453,TC,Hast w/suppl oxygen titrj,A,,0.00,1.68,,1.68,NA,0.02,1.70,1.70,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,39794610,,Intrapulm surfactant admn,A,,1.13,0.23,NA,0.23,,0.07,1.43,1.43,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,39894617,,Exercise tst brncspsm w/ecg,A,,0.68,2.07,,2.07,NA,0.04,2.79,2.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,39994617,26,Exercise tst brncspsm w/ecg,A,,0.68,0.25,,0.25,,0.01,0.94,0.94,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,40094617,TC,Exercise tst brncspsm w/ecg,A,,0.00,1.82,,1.82,NA,0.03,1.85,1.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
12,40194618,,Pulmonary stress testing,A,,0.47,0.61,,0.61,NA,0.03,1.11,1.11,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00