$55.63
94014 covers the technical recording service. Use 94016 for the clinician’s review, interpretation, and report.
On this page
CMS RVU26D · Effective 2026-10-01
94016 Spirometry review Medicare reimbursement rates in Iowa
Reports a clinician’s interpretation of patient-initiated spirometry recordings collected during a 30-day monitoring period, separate from the technical service. Compare 94016 office and facility rates across CMS payment localities in Iowa.
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 94016 in Iowa?
Iowa 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
$23.72
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
$23.72
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
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 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 Iowa, from the same CMS release.
$31.92
94015 represents the broader patient-initiated spirometry service, while 94016 is limited to professional interpretation and reporting.
$27.34
94010 is for a spirometry testing session; 94016 is for clinician review of patient-initiated recordings collected during a monitoring period.
Compare 94016 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
Iowa →
Office / nonfacility
$23.72
Facility
$23.72
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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 94016 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
12,372
- Code
- 94016
- Physician work
- 0.51
- Practice expense
- 0.21
- Malpractice
- 0.02
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.51 | × 1.000 | 0.5100 |
| Practice expense | 0.21 | × 0.915 | 0.1921 |
| Malpractice | 0.02 | × 0.397 | 0.0079 |
| Total RVUs | 0.7101 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$23.72
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.51 | 1 |
| Practice expense | 0.21 | 0.915 |
| Malpractice | 0.02 | 0.397 |
(0.51 × 1 + 0.21 × 0.915 + 0.02 × 0.397) × $33.4009 = $23.72
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.51 | 1 |
| Practice expense | 0.21 | 0.915 |
| Malpractice | 0.02 | 0.397 |
(0.51 × 1 + 0.21 × 0.915 + 0.02 × 0.397) × $33.4009 = $23.72
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.
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.
12,36994013,,Meas lung vol thru 2 yrs,A,,0.40,0.07,NA,0.07,,0.03,0.50,0.50,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,37094014,,Patient recorded spirometry,A,,0.51,1.25,,1.25,NA,0.03,1.79,1.79,4,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
12,37194015,,Patient recorded spirometry,A,,0.00,1.04,,1.04,NA,0.01,1.05,1.05,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
12,37294016,,Review patient spirometry,A,,0.51,0.21,,0.21,,0.02,0.74,0.74,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,37394060,,Evaluation of wheezing,A,,0.21,1.07,,1.07,NA,0.02,1.30,1.30,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,37494060,26,Evaluation of wheezing,A,,0.21,0.09,,0.09,,0.01,0.31,0.31,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,37594060,TC,Evaluation of wheezing,A,,0.00,0.98,,0.98,NA,0.01,0.99,0.99,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136