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See a sample rate comparisonCPT 94619 Fee Schedule
Last Verified: October 2026
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.
Exercise Test For Bronchospasm, The Test Measures The Amount Of Air That Moves In And Out Of The Lungs During Breathing. Exercise Is Introduced To See If A Bronchospasm (Asthma Attack) Occurs.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Pulmonary Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component 25 - Significant, separately identifiable E/M service same day |
| Complexity Level | Low |
| Medicare Fee Schedule | $66.80 national non-facility rate (2026) · View Medicare rates for 94619 |
| Medicaid Fee Schedule | $53.975 median of the 8 states in the free preview · View Medicaid rates for 94619 |
National average reimbursement for CPT 94619 by major payers:
$84.46
$98.40
$89.56
$122.27
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CPT 94619
5 of 25 sample ratesHigher to lower in this preview
P. Daniel Le Grange
$536.29Published rateElizabeth Berry-Kravis
$141.33Published rateSteven Sharp
Loyola University Medical Center
$100.29Published rateJocelyn Lorenzo
$69.16Published rateNarsimha Muddasani
Touchette Regional Hospital Inc
$21.75Published rate
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See a sample payer proposalCPT 94619 vs. Other Pulmonary Procedures Codes
The CPT 94619 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 94619 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 |
|---|---|---|
| 94617-CPT | Low | Exercise Test For Bronchospasm, Exercise Test For Bronchospasm Including Pre- Andpost-Spirometry Electrocardiographic Recording(S ) And Pulse Oximetry Age Adjustment (As Needed) And Scheduling Of Additional Test(S) When Performed |
| 94618-CPT | Low | Pulmonary Stress Testing (Eg, Pulmonary Stress Testing (Eg 6-Minute Walk Test)Including Measurement Of Heart Rate Oximetry An D Oxygen Titration When Performed Age Adjustment (As Needed) And Scheduling Of Additional Test(S) When Performed |
| 94619-CPT | Low | Exercise Test For Bronchospasm, The Test Measures The Amount Of Air That Moves In And Out Of The Lungs During Breathing. Exercise Is Introduced To See If A Bronchospasm (Asthma Attack) Occurs. |
| 94621-CPT | Low | Breathing Test On Treadmill, Treadmill Walking While Breathing Into A Mouthpiece. A Computer Measures The Ability Of The Lungs To Absorb Oxygen And How Much Carbon Dioxide Is Produced. Monitoring Includes Heart Rate (Eeg) And Amount Of Oxygen In The Blood (Pulse Oximetry). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 94619. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 94619 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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