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94010 - RVUs & Medicare payment (2026)

Spirometry.

Component Non-facility Facility
Work RVU 0.17 0.17
Practice expense RVU 0.70 0.70
Malpractice RVU 0.02 0.02
Total RVUs 0.89 0.89
National payment (CF $33.4009) $29.73 $29.73
Qualifying APM payment (CF $33.5675) $29.88 $29.88

How 94010 payment varies by locality

Medicare adjusts payment with geographic practice cost indices, so the same code pays differently across the 109 fee schedule localities. In 2026, non-facility payment for 94010 ranges from $26.11 in Arkansas (AR) to $40.38 in San Jose-Sunnyvale-Santa Clara (CA); calculate 94010 for your locality.

San Jose-Sunnyvale-Santa Clara (CA) $40.38 San Jose-Sunnyvale-Santa Clara (CA) $40.28 San Francisco-Oakland-Berkeley (CA) $39.49 San Francisco-Oakland-Berkeley (CA) $39.47 Napa (CA) $37.19 Vallejo (CA) $37.16 Seattle (WA) $35.20 NYC Suburbs/Long Island (NY) $35.08 National average $29.73 … 97 more localities between … Alabama (AL) $26.51 Rest Of Missouri (MO) $26.48 Mississippi (MS) $26.30 Arkansas (AR) $26.11
Non-facility payment for 94010 in the 2026 fee schedule ($33.4009 conversion factor), before sequestration. Gray bar = national average.

Global period: XXX

No global period: the global surgery concept does not apply to this code.

Professional / technical split

94010 can be billed globally or split: modifier 26 for the professional component (interpretation) and TC for the technical component (equipment and staff).

Billing Total RVUs (non-facility) National payment
94010-26 0.25 $8.35
94010-TC 0.64 $21.38

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Frequently asked questions

How much does Medicare pay for 94010 in 2026?
The national non-facility payment is $29.73 and the facility payment is $29.73, using the standard $33.4009 conversion factor. Actual amounts vary by Medicare locality; use the RVU calculator for your area.
What is the work RVU for 94010?
The 2026 work RVU for 94010 is 0.17. Total RVUs are 0.89 in the non-facility setting and 0.89 in the facility setting.
Why are the facility and non-facility amounts different?
Only the practice expense component changes by setting. In an office (non-facility) the practice bears the overhead, so the PE RVU is higher; in a hospital or ASC the facility bills its own overhead separately.

Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service description is an original plain-English summary, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates before sequestration and claim-level adjustments.