$29.93
Use 94010 for spirometry measurements of airflow and lung volume during forced breathing maneuvers. Use 94200 when the service measures maximum voluntary ventilation through sustained rapid breathing.
On this page
CMS RVU26D · Effective 2026-10-01
94200 Lung function test Medicare reimbursement rates in Minnesota
Reports a maximum voluntary ventilation maneuver during pulmonary function testing to assess ventilatory capacity, typically as part of a broader respiratory evaluation. Compare 94200 office and facility rates across CMS payment localities in Minnesota.
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 94200 in Minnesota?
Minnesota 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
$16.30
1 of 1 localities have a supported rate.
Payment area: Minnesota
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 function testing
About 94200: Maximum voluntary ventilation test
Reports a maximum voluntary ventilation maneuver during pulmonary function testing to assess ventilatory capacity, typically as part of a broader respiratory evaluation.
This pulmonary function test measures the amount of air a patient can move with rapid, sustained breathing over a brief testing period. The result is used to assess ventilatory capacity and may help characterize respiratory impairment. A respiratory therapist or pulmonary function technician typically performs the maneuver in a pulmonary function laboratory or clinic, with a physician interpreting the results.
Select this code when the documented service is a maximum voluntary ventilation measurement, rather than spirometry, lung-volume measurement, or another pulmonary function test. The record should identify the test performed and include its results and interpretation. CMS recognizes professional and technical components: report modifier 26 for interpretation, modifier TC for equipment and staff, or neither modifier when billing the global service, which includes both components.
CMS billing rules for 94200
- 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 RVU0.05 · 10%
- Practice expense (office) RVU0.42 · 86%
- Malpractice RVU0.02 · 4%
48.5K
Medicare services in 2024 · #791 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.
94200 compared with similar codes
Office rates for Minnesota, from the same CMS release.
94150
No office rateVital capacity test
94150 measures vital capacity, the volume exhaled after a maximal inhalation. Code 94200 represents a separate maximum voluntary ventilation measurement.
$64.67
94726 measures lung volumes, commonly using body plethysmography. Code 94200 measures ventilatory capacity during rapid, sustained breathing.
Compare 94200 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
Minnesota →
Office / nonfacility
$16.30
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 94200 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
12,382
- Code
- 94200
- Physician work
- 0.05
- Practice expense
- 0.42
- Malpractice
- 0.02
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.05 | × 1.000 | 0.0500 |
| Practice expense | 0.42 | × 1.029 | 0.4322 |
| Malpractice | 0.02 | × 0.296 | 0.0059 |
| Total RVUs | 0.4881 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Minnesota$16.30
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.05 | 1 |
| Practice expense | 0.42 | 1.029 |
| Malpractice | 0.02 | 0.296 |
(0.05 × 1 + 0.42 × 1.029 + 0.02 × 0.296) × $33.4009 = $16.30
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.
94200 billing questions
How does this test differ from spirometry?
Maximum voluntary ventilation measures sustained ventilatory capacity during rapid, repeated breathing. Spirometry measures specific airflow and volume values during defined breathing maneuvers.
Can modifier 26 or TC be reported?
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.
What documentation supports reporting this code?
Document that maximum voluntary ventilation was performed, the resulting measurement, and the physician's interpretation. The record should distinguish this test from other pulmonary function measurements performed during the encounter.
Can this be reported with other pulmonary function tests?
It may be reported with other tests when those distinct measurements are performed and documented. For example, spirometry or lung-volume testing may be part of the same broader pulmonary function evaluation.
Is this code reported for each breathing maneuver?
The code identifies the maximum voluntary ventilation test, not each individual breath or maneuver. Report the service based on the completed test and its documentation.
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.
12,37994150,,Vital capacity test,B,+,0.07,0.70,,0.70,NA,0.02,0.79,0.79,1,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
12,38094150,26,Vital capacity test,B,+,0.07,0.03,,0.03,,0.01,0.11,0.11,1,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
12,38194150,TC,Vital capacity test,B,+,0.00,0.67,,0.67,NA,0.01,0.68,0.68,1,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,01,0,99,0.00,0.00,0.00
12,38294200,,Lung function test (mbc/mvv),A,,0.05,0.42,,0.42,NA,0.02,0.49,0.49,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,38394200,26,Lung function test (mbc/mvv),A,,0.05,0.02,,0.02,,0.01,0.08,0.08,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,38494200,TC,Lung function test (mbc/mvv),A,,0.00,0.40,,0.40,NA,0.01,0.41,0.41,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
12,38594375,,Respiratory flow volume loop,A,,0.30,0.94,,0.94,NA,0.02,1.26,1.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002