$87.03
Both assess exercise-related bronchospasm with spirometry before and after exertion. Choose 94617 when ECG recording is performed; use 94619 when it is not.
On this page
CMS RVU26D · Effective 2026-10-01
94619 Exercise challenge Medicare reimbursement rates in Nebraska
Reports an exercise challenge with pre- and post-exercise spirometry to assess suspected exercise-induced bronchospasm when ECG recording is not performed. Compare 94619 office and facility rates across CMS payment localities in Nebraska.
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 94619 in Nebraska?
Nebraska 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
$62.35
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 94619: Exercise challenge for bronchospasm without ECG
Reports an exercise challenge with pre- and post-exercise spirometry to assess suspected exercise-induced bronchospasm when ECG recording is not performed.
This test evaluates whether exertion triggers airway narrowing, often in a patient with cough, wheezing, or breathlessness during or after exercise. The patient exercises, commonly on a treadmill or cycle, while pulmonary function staff obtain spirometry before and after exertion. A physician or qualified clinician interprets the airflow changes in the context of the test and symptoms. It is typically performed in a pulmonary function laboratory or another setting equipped for exercise testing and spirometry.
Report 94619 for the bronchospasm challenge without ECG recording, rather than a general exercise-capacity assessment. Documentation should identify the clinical reason for testing, exercise protocol, baseline and post-exercise spirometry findings, and interpretation. The pre- and post-exercise measurements are part of the challenge, not separate services when they represent the work of this test. Medicare recognizes professional and technical components: use modifier 26 for interpretation only, modifier TC for equipment and staff only, or report without a component modifier for the global service.
CMS billing rules for 94619
- 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 RVU0.48 · 24%
- Practice expense (office) RVU1.49 · 75%
- Malpractice RVU0.03 · 2%
2.7K
Medicare services in 2024 · #2240 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.
94619 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$34.88
94618 is pulmonary stress testing for exercise-related functional assessment, such as a walk test. 94619 is an exercise challenge directed at detecting bronchospasm.
$154.82
94621 is a broader cardiopulmonary exercise assessment. 94619 focuses on whether exercise provokes bronchospasm and includes pre- and post-exercise spirometry.
$27.51
94010 reports spirometry without an exercise challenge. Use 94619 when exertion is used to evaluate suspected exercise-induced airway narrowing.
Compare 94619 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
Nebraska →
Office / nonfacility
$62.35
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 94619 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
12,404
- Code
- 94619
- Physician work
- 0.48
- Practice expense
- 1.49
- Malpractice
- 0.03
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.48 | × 1.000 | 0.4800 |
| Practice expense | 1.49 | × 0.923 | 1.3753 |
| Malpractice | 0.03 | × 0.378 | 0.0113 |
| Total RVUs | 1.8666 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$62.35
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.48 | 1 |
| Practice expense | 1.49 | 0.923 |
| Malpractice | 0.03 | 0.378 |
(0.48 × 1 + 1.49 × 0.923 + 0.03 × 0.378) × $33.4009 = $62.35
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.
94619 billing questions
When should 94619 be chosen instead of 94617?
Use 94619 for an exercise challenge evaluating bronchospasm when ECG recording is not performed. The corresponding test with ECG recording is 94617.
Can the pre- and post-exercise spirometry be billed separately?
Those measurements are integral to the exercise challenge when they are performed as part of this test. Do not separately report them as independent spirometry services for the same test work.
How should the professional and technical portions be reported?
Use modifier 26 for the interpretation alone and modifier TC for the technical portion, including equipment and staff. Report without either modifier when billing the global service.
Is 94619 reported per spirometry reading or per exercise test?
It represents the exercise challenge, not each spirometry measurement. The documentation should support a completed challenge and its pre- and post-exercise findings.
What documentation supports reporting 94619?
Record the symptoms or clinical concern prompting the challenge, the exercise protocol, pre- and post-exercise spirometry results, and the clinician's interpretation of the airway response.
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.
12,40194618,,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
12,40294618,26,Pulmonary stress testing,A,,0.47,0.19,,0.19,,0.02,0.68,0.68,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,40394618,TC,Pulmonary stress testing,A,,0.00,0.42,,0.42,NA,0.01,0.43,0.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
12,40494619,,Exercise tst brncspsm wo ecg,A,,0.48,1.49,,1.49,NA,0.03,2.00,2.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,40594619,26,Exercise tst brncspsm wo ecg,A,,0.48,0.15,,0.15,,0.01,0.64,0.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,40694619,TC,Exercise tst brncspsm wo ecg,A,,0.00,1.34,,1.34,NA,0.02,1.36,1.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
12,40794621,,Cardiopulm exercise testing,A,,1.38,3.49,,3.49,NA,0.09,4.96,4.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068