Other diagnostics

94060 - RVUs & Medicare payment (2026)

Spirometry before and after bronchodilator.

Component	Non-facility	Facility
Work RVU	0.21	0.21
Practice expense RVU	1.07	1.07
Malpractice RVU	0.02	0.02
Total RVUs	1.30	1.30
National payment (CF $33.4009)	$43.42	$43.42
Qualifying APM payment (CF $33.5675)	$43.64	$43.64

How 94060 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 94060 ranges from $38.06 in Arkansas (AR) to $59.68 in San Jose-Sunnyvale-Santa Clara (CA); calculate 94060 for your locality.

San Jose-Sunnyvale-Santa Clara (CA) $59.68 San Jose-Sunnyvale-Santa Clara (CA) $59.59 San Francisco-Oakland-Berkeley (CA) $58.38 San Francisco-Oakland-Berkeley (CA) $58.36 Napa (CA) $54.90 Vallejo (CA) $54.87 Seattle (WA) $51.76 Santa Rosa-Petaluma (CA) $51.47 National average $43.42 … 97 more localities between … Alabama (AL) $38.66 Rest Of Missouri (MO) $38.47 Mississippi (MS) $38.28 Arkansas (AR) $38.06

Non-facility payment for 94060 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

94060 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
94060-26	0.31	$10.35
94060-TC	0.99	$33.07

Related codes - other diagnostics

88305 · surgical pathology, gross and microscopic exam, level iv
95810 · sleep study (polysomnography), attended, 6+ parameters
95004 · allergy skin tests, percutaneous, per test
94010 · spirometry

Frequently asked questions

How much does Medicare pay for 94060 in 2026?

The national non-facility payment is $43.42 and the facility payment is $43.42, 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 94060?

The 2026 work RVU for 94060 is 0.21. Total RVUs are 1.30 in the non-facility setting and 1.30 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.