CPT 94014 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Pulmonary Procedures |
| Common Place of Service | 11 - Office None |
| Common Modifiers | None 59 - Distinct Procedural Service GO - Services delivered under an outpatient occupational therapy plan of care |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 94014 |
| Medicaid Fee Schedule | View Medicaid rates for 94014 |
National average reimbursement for CPT 94014 by major payers:
$71.34
$68.57
$65.15
$84.45
CPT 94014 vs. Other Pulmonary Procedures Codes
The CPT 94014 code is part of the Medicine Services and Procedures services used for Pulmonary Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 94014 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 94010-CPT | Low | Spirometry Including Graphic, Spirometry Including Graphic Record Total And Timed Vital Capacity Expiratory Flow Rate Measurement(S) With Or Without Maximal Voluntary Ventilation |
| 94014-CPT | Low | Patient Recorded Spirometry, Patient Initiated Spirometric Recording Per 30 Day Period Of Time Includes Reinforced Education Transmission Of Spirometric Tracing Data Capture Analysis Of Transmitted Data Periodic Recalibration And Review And Interpretation By A Physician Or Other Qualified Health Care Professional |
| 94015-CPT | Low | 30-Day Breathing Test, A 30-Day Breathing Test To Assess Lung Function For A Condition Such As Asthma. Once Each Day A Person Breathes Into A Spirometer (Device For Measuring Airflow) To Record The Amount And Rate Of Air Intake And Outflow. |
| 94016-CPT | Low | 30-Day Breathing Test, A 30-Day Breathing Test To Assess Lung Function For A Condition Such As Asthma. Once Each Day A Person Breathes Into A Spirometer (Device For Measuring Airflow) To Record The Amount And Rate Of Air Intake And Outflow. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 94014. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 94014 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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