$30.92–$34.42
94010 is spirometry without a post-bronchodilator study. Choose 94060 when spirometry is repeated after bronchodilator administration in the same session.
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CMS RVU26D · Effective 2026-10-01
94060 Bronchodilator spirometry Medicare reimbursement rates in Massachusetts
Spirometry performed before and after an inhaled bronchodilator to measure reversible airflow obstruction, reported when evaluating suspected asthma, COPD, or unexplained wheezing and dyspnea. Compare 94060 office and facility rates across CMS payment localities in Massachusetts.
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 94060 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$45.29–$50.57
2 of 2 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.
Pulmonary function testing
About 94060: Spirometry before and after bronchodilator administration
Spirometry performed before and after an inhaled bronchodilator to measure reversible airflow obstruction, reported when evaluating suspected asthma, COPD, or unexplained wheezing and dyspnea.
This test compares forced expiratory measurements before and after a short-acting bronchodilator to assess airflow reversibility. The patient performs baseline maneuvers measuring FEV1 and FVC, receives an inhaled bronchodilator such as albuterol, then repeats spirometry after an appropriate interval. Respiratory therapists or pulmonary function technologists commonly perform it in physician offices, pulmonary function labs, and hospital outpatient departments. Pulmonologists, allergists, and other treating physicians interpret the results when evaluating asthma, COPD, wheezing, or treatment response.
Report one unit for the pre- and post-bronchodilator study in the same session, regardless of whether airflow improves. If only baseline spirometry is performed, report 94010 instead; do not separately report 94010 for the baseline phase of 94060. Record the indication, bronchodilator and dose, and both sets of measurements. The professional service also requires an interpretation and report. Under Medicare, billing without a modifier represents the global test; modifier 26 identifies the interpretation and report, while modifier TC identifies the equipment and staff performing the test. A physician interpreting a hospital-performed test reports the professional component.
CMS billing rules for 94060
- 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 RVU0.21 · 16%
- Practice expense (office) RVU1.07 · 82%
- Malpractice RVU0.02 · 2%
794.2K
Medicare services in 2024 · #171 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.
94060 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
$72.35–$79.83
94070 evaluates airway narrowing after a provocative agent such as methacholine. 94060 measures change after a bronchodilator.
$96.95–$107.39
94617 evaluates exercise-induced bronchospasm with spirometry before and after exercise. 94060 uses a bronchodilator, not exercise, between spirometry measurements.
No office rate
94012 is pre- and post-bronchodilator spirometry for infants and children through age 2. Use 94060 for patients outside that age-specific service who perform standard spirometry.
Compare 94060 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.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
$50.57
Facility
Unavailable
Rest Of Massachusetts →
Office / nonfacility
$45.29
Facility
Unavailable
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94060 billing questions
Can 94010 be reported with 94060 on the same date?
Do not report 94010 separately for the baseline measurements included in a 94060 testing session. If only baseline spirometry is performed, report 94010 instead.
Is nebulizer or inhaler administration of the bronchodilator billed separately with 94060?
No. Do not report 94640 separately for administering the bronchodilator used during the pre- and post-bronchodilator test.
When should modifier 26 or TC be appended?
Append modifier 26 when the physician provides only the interpretation and report, such as for a study performed in a hospital PFT lab. Append modifier TC for the equipment-and-staff portion; bill without a modifier when the billing entity provides the global service.
Can a diffusing capacity test be added to 94060?
Yes. Report add-on code 94729 with 94060 when diffusing capacity is also measured in the same session.
What if the patient did not improve after the bronchodilator?
94060 is still reportable when both spirometry phases were performed. Code selection depends on the testing performed, not whether the patient had a positive bronchodilator response.
What documentation supports 94060?
Document the indication, bronchodilator name and dose, and pre- and post-bronchodilator measurements. Billing the professional component also requires an interpretation and report addressing the findings.
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.
12,37094014,,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
12,37694070,,Evaluation of wheezing,A,,0.59,1.45,,1.45,NA,0.05,2.09,2.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00