Micro Direct, Inc. 803 Webster Street Lewiston, ME 04240 (800) 588-3381 (207) 786-7280 FAX www.mdspiro.com CPT Codes For Spirometry The current Procedural Teminology (CPT) codes defined below are the most common used to describe spirometry procedures performed with the Micro Direct spirometers. CPT CODE TEST DESCRIPTION 94010 Spirometry Complete, includes graphic record total and timed vital capacity, expiratory flow rate measurement(s) with or without maximal voluntary ventilation National Average $36.75 94060 Bronchodilation Responsiveness, spirometry as in 94010, pre- and post bronchodilator or exercise National Average $61.91 94070 Bronchospasm Provocation Evaluation, multiple spirometric determinations as in 94010, with administered agents (e.g. antigen(s), cold air, methacholine). National Average $61.12 94375 Respiratory Flow Volume Loop National Average $40.04 95070 Inhalation Bronchial Challenge Testing, (not including necessary pulmonary function tests), with histamine, methacholine or similar compounds. National Average $29.86 94664 Bronchodilator Administration, demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, meter dose inhaler or IPPB device. National Average $17.47 Many Medicare Part B carriers have published Local Medical Review Policies (LMRP) that describes specific coverage guidelines for spirometry procedures. For definitive coverage and payment information, contact your local Part B carrier. *The material referenced and provided is based upon research current at the time of printing. The final decision of billing for any product or procedure must be made by the provider of care, considering the medical necessity of the services and supplies provided, the regulations of insurance carriers and any local, state or federal laws that apply to the supplies and services rendered. We are providing this information in an educational capacity with the understanding that we are not engaged or rendering legal, accounting or other professional services or advice. Note that applicable laws, rules and regulations may change. While we will use reasonable efforts to update the guide regularly, this guide should not be relied upon as a current or comprehensive statement of all applicable laws, rules and regulations.
Micro Direct, Inc. 803 Webster Street Lewiston, ME 04240 (800) 588-3381 (207) 786-7280 FAX www.mdspiro.com ICD-9 Codes For Spirometry Diagnosis ICD-9-CM Codes Smokers over 40 491.0 Shortness of Breath 518.82 Chronic Cough 464.4, 493.9 Frequent Coughs 460 or 465, 465.0, 465.8, 465.9 Allergic Rhinitis 506, 506.0, 506.1, 506.2, 506.3, 506.4, 506.9 Occupational Exposure to Dust or Chemicals 506, 506.0, 506.1, 506.2, 506.3, 506.4, 506.9 Scoliosis 737, 737.0, 737.1, 737.10, 737,12, 737.19, 737.2, 737.20, 737.21, 737.22, 737.29, 737.3, 737.30, 737.31, 737.32, 737.33, 737.34, 737.39, 737.4, 737.40, 737.41, 737.42, 737.43, 737.8, 737.9 Pigeon Chest 738.3, 754.82 Barrel Chest 783.3 Diagnosis of Asthma 493, 493.0, 493.1, 493.2, 493.9 Diagnosis of Bronchitis 491, 491.0, 491.1, 491.2, 491.8, 491.9 Diagnosis of other COPD 496 Pre-Operative Evaluation 518.5 Wheezing 786.09 High Risk Medication V58.69
CPT CODE 94010 Spirometry Complete * 0210201 AK ALASKA 41.56 41.56 1010200 AL ALABAMA 32.39 32.39 0710213 AR ARKANSAS 31.88 31.88 0310200 AZ ARIZONA 35.82 35.82 0110203 CA1 MARIN/NAPA/SOLANO, CALIFORNIA 43.98 43.98 0110207 CA1 OAKLAND/BERKELEY, CALIFORNIA 43.73 43.73 0110299 CA1 REST OF CALIFORNIA 38.52 38.52 0110205 CA1 SAN FRANCISCO, CALIFORNIA 47.26 47.26 0110206 CA1 SAN MATEO, CALIFORNIA 46.92 46.92 0110209 CA1 SANTA CLARA, CA 46.35 46.35 0119226 CA2 ANAHEIM/SANTA ANA, CALIFORNIA 42.65 42.65 0119218 CA2 LOS ANGELES, CALIFORNIA 40.92 40.92 0119299 CA2 REST OF CALIFORNIA 38.52 38.52 0119217 CA2 VENTURA, CALIFORNIA 41.67 41.67 0411201 CO COLORADO 36.40 36.40 1310200 CT CONNECTICUT 39.90 39.90 1220201 DC DC + MARYLAND/VIRGINIA SUBURBS 42.57 42.57 1210201 DE DELAWARE 37.28 37.28 0910203 FL FORT LAUDERDALE, FLORIDA 37.99 37.99 0910204 FL MIAMI, FLORIDA 38.66 38.66 0910299 FL REST OF FLORIDA 35.43 35.43 1020201 GA ATLANTA, GEORGIA 36.44 36.44 1020299 GA REST OF GEORGIA 33.15 33.15 0120201 HI HAWAII/GUAM 40.59 40.59 0510200 IA IOWA 32.63 32.63 0220200 ID IDAHO 32.81 32.81 0095216 IL CHICAGO, ILLINOIS 38.36 38.36 0095212 IL EAST ST. LOUIS, ILLINOIS 34.92 34.92 0095299 IL REST OF ILLINOIS 33.72 33.72 0095215 IL SUBURBAN CHICAGO, ILLINOIS 38.69 38.69 0810200 IN INDIANA 33.61 33.61 0520200 KS KANSAS 33.08 33.08 1510200 KY KENTUCKY 32.26 32.26 0720201 LA NEW ORLEANS, LOUSIANA 35.71 35.71 0720299 LA REST OF LOUISIANA 32.70 32.70 1420201 MA METROPOLITAN BOSTON, MASSACHUSETTS 40.65 40.65 1420299 MA REST OF MASSACHUSETTS 37.94 37.94 1230201 MD BALTIMORE/SURROUNDING COUNTIES, MARYLAND 39.32 39.32 1230299 MD REST OF MARYLAND 37.30 37.30 1410299 ME REST OF MAINE 33.32 33.32 1410203 ME SOUTHERN MAINE 36.41 36.41 0820201 MI DETROIT, MICHIGAN 36.92 36.92 0820299 MI REST OF MICHIGAN 33.90 33.90 0095400 MN MINNESOTA 36.15 36.15 0530202 MO METROPOLITAN KANSAS CITY, MISSOURI 34.89 34.89 0530201 MO METROPOLITAN ST. LOUIS, MISSOURI 35.04 35.04 0530299 MO REST OF MISSOURI 31.76 31.76
CPT CODE 94010 Spirometry Complete * 0730200 MS MISSISSIPPI 31.99 31.99 0320201 MT MONTANA 36.30 36.30 1150200 NC NORTH CAROLINA 33.90 33.90 0330201 ND NORTH DAKOTA 35.85 35.85 0540200 NE NEBRASKA 32.95 32.95 1430240 NH NEW HAMPSHIRE 37.58 37.58 1240201 NJ NORTHERN NEW JERSEY 41.89 41.89 1240299 NJ REST OF NEW JERSEY 40.07 40.07 0421205 NM NEW MEXICO 33.83 33.83 0130200 NV NEVADA 37.88 37.88 1328299 NY1 REST OF NEW YORK 34.23 34.23 1320201 NY2 MANHATTAN, NEW YORK 41.75 41.75 1320202 NY2 NYC SUBURBS/LONG ISLAND, NEW YORK 43.26 43.26 1320203 NY2 POUGHKEEPSIE/N NYC SUBURBS, NEW YORK 38.51 38.51 1329204 NY3 QUEENS, NEW YORK 42.91 42.91 1520200 OH OHIO 34.00 34.00 0431200 OK OKLAHOMA 32.04 32.04 0230201 OR PORTLAND, OR 37.35 37.35 0230299 OR REST OF OREGON 34.91 34.91 1250201 PA METROPOLITAN PHILADELPHIA, PENNSYLVANIA 38.75 38.75 1250299 PA REST OF PENSYLVANIA 33.90 33.90 0920220 PRV PUERTO RICO 26.61 26.61 0920250 PRV VIRGIN ISLANDS 36.30 36.30 1440201 RI RHODE ISLAND 37.84 37.84 1120201 SC SOUTH CAROLINA 33.29 33.29 0340202 SD SOUTH DAKOTA 35.76 35.76 1030235 TN TENNESSEE 32.84 32.84 0441231 TX AUSTIN, TEXAS 36.42 36.42 0441220 TX BEAUMONT, TEXAS 33.17 33.17 0441209 TX BRAZORIA, TEXAS 35.90 35.90 0441211 TX DALLAS, TEXAS 36.51 36.51 0441228 TX FORT WORTH, TEXAS 35.67 35.67 0441215 TX GALVESTON, TEXAS 36.39 36.39 0441218 TX HOUSTON, TEXAS 36.34 36.34 0441299 TX REST OF TEXAS 33.58 33.58 0350209 UT UTAH 33.90 33.90 1130200 VA VIRGINIA 35.43 35.43 1450250 VT VERMONT 36.08 36.08 0240299 WA REST OF WASHINGTON 36.35 36.35 0240202 WA SEATTLE (KING COUNTY), WASHINGTON 40.52 40.52 0095100 WI WISCONSIN 34.63 34.63 1140216 WV WEST VIRGINIA 31.43 31.43 0360221 WY WYOMING 36.34 36.34 *Facility: Includes hospitals (inpatient, outpatient and emergency department), ambulatory surgical centers (ASCs) and skilled nursing facilities (SNFs) **Non Facility: Includes all other settings.
CPT Code 94060 - Bronchodilation Responsiveness * 0210201 AK ALASKA 69.90 69.90 1010200 AL ALABAMA 54.61 54.61 0710213 AR ARKANSAS 53.77 53.77 0310200 AZ ARIZONA 60.30 60.30 0110203 CA1 MARIN/NAPA/SOLANO, CALIFORNIA 74.54 74.54 0110207 CA1 OAKLAND/BERKELEY, CALIFORNIA 74.09 74.09 0110299 CA1 REST OF CALIFORNIA 65.11 65.11 0110205 CA1 SAN FRANCISCO, CALIFORNIA 80.16 80.16 0110206 CA1 SAN MATEO, CALIFORNIA 79.59 79.59 0110209 CA1 SANTA CLARA, CA 78.59 78.59 0119226 CA2 ANAHEIM/SANTA ANA, CALIFORNIA 72.10 72.10 0119218 CA2 LOS ANGELES, CALIFORNIA 69.12 69.12 0119299 CA2 REST OF CALIFORNIA 65.11 65.11 0119217 CA2 VENTURA, CALIFORNIA 70.45 70.45 0411201 CO COLORADO 61.29 61.29 1310200 CT CONNECTICUT 67.16 67.16 1220201 DC DC + MARYLAND/VIRGINIA SUBURBS 71.73 71.73 1210201 DE DELAWARE 62.85 62.85 0910203 FL FORT LAUDERDALE, FLORIDA 63.58 63.58 0910204 FL MIAMI, FLORIDA 64.31 64.31 0910299 FL REST OF FLORIDA 59.39 59.39 1020201 GA ATLANTA, GEORGIA 61.37 61.37 1020299 GA REST OF GEORGIA 55.74 55.74 0120201 HI HAWAII/GUAM 68.65 68.65 0510200 IA IOWA 55.07 55.07 0220200 ID IDAHO 55.33 55.33 0095216 IL CHICAGO, ILLINOIS 64.09 64.09 0095212 IL EAST ST. LOUIS, ILLINOIS 58.27 58.27 0095299 IL REST OF ILLINOIS 56.51 56.51 0095215 IL SUBURBAN CHICAGO, ILLINOIS 64.85 64.85 0810200 IN INDIANA 56.68 56.68 0520200 KS KANSAS 55.66 55.66 1510200 KY KENTUCKY 54.27 54.27 0720201 LA NEW ORLEANS, LOUSIANA 60.00 60.00 0720299 LA REST OF LOUISIANA 54.92 54.92 1420201 MA METROPOLITAN BOSTON, MASSACHUSETTS 68.72 68.72 1420299 MA REST OF MASSACHUSETTS 64.06 64.06 1230201 MD BALTIMORE/SURROUNDING COUNTIES, MARYLAND 66.18 66.18 1230299 MD REST OF MARYLAND 62.83 62.83 1410299 ME REST OF MAINE 56.16 56.16 1410203 ME SOUTHERN MAINE 61.46 61.46 0820201 MI DETROIT, MICHIGAN 61.86 61.86 0820299 MI REST OF MICHIGAN 56.97 56.97 0095400 MN MINNESOTA 61.21 61.21 0530202 MO METROPOLITAN KANSAS CITY, MISSOURI 58.62 58.62 0530201 MO METROPOLITAN ST. LOUIS, MISSOURI 58.91 58.91 0530299 MO REST OF MISSOURI 53.31 53.31
CPT Code 94060 - Bronchodilation Responsiveness * 0730200 MS MISSISSIPPI 53.86 53.86 0320201 MT MONTANA 61.02 61.02 1150200 NC NORTH CAROLINA 57.12 57.12 0330201 ND NORTH DAKOTA 60.57 60.57 0540200 NE NEBRASKA 55.68 55.68 1430240 NH NEW HAMPSHIRE 63.38 63.38 1240201 NJ NORTHERN NEW JERSEY 70.65 70.65 1240299 NJ REST OF NEW JERSEY 67.53 67.53 0421205 NM NEW MEXICO 56.81 56.81 0130200 NV NEVADA 63.76 63.76 1328299 NY1 REST OF NEW YORK 57.73 57.73 1320201 NY2 MANHATTAN, NEW YORK 70.16 70.16 1320202 NY2 NYC SUBURBS/LONG ISLAND, NEW YORK 72.61 72.61 1320203 NY2 POUGHKEEPSIE/N NYC SUBURBS, NEW YORK 64.74 64.74 1329204 NY3 QUEENS, NEW YORK 72.00 72.00 1520200 OH OHIO 57.09 57.09 0431200 OK OKLAHOMA 53.88 53.88 0230201 OR PORTLAND, OR 63.08 63.08 0230299 OR REST OF OREGON 58.89 58.89 1250201 PA METROPOLITAN PHILADELPHIA, PENNSYLVANIA 65.08 65.08 1250299 PA REST OF PENSYLVANIA 56.95 56.95 0920220 PRV PUERTO RICO 44.82 44.82 0920250 PRV VIRGIN ISLANDS 61.10 61.10 1440201 RI RHODE ISLAND 63.75 63.75 1120201 SC SOUTH CAROLINA 56.13 56.13 0340202 SD SOUTH DAKOTA 60.48 60.48 1030235 TN TENNESSEE 55.41 55.41 0441231 TX AUSTIN, TEXAS 61.43 61.43 0441220 TX BEAUMONT, TEXAS 55.75 55.75 0441209 TX BRAZORIA, TEXAS 60.43 60.43 0441211 TX DALLAS, TEXAS 61.55 61.55 0441228 TX FORT WORTH, TEXAS 60.12 60.12 0441215 TX GALVESTON, TEXAS 61.27 61.27 0441218 TX HOUSTON, TEXAS 61.19 61.19 0441299 TX REST OF TEXAS 56.52 56.52 0350209 UT UTAH 56.90 56.90 1130200 VA VIRGINIA 59.73 59.73 1450250 VT VERMONT 60.93 60.93 0240299 WA REST OF WASHINGTON 61.37 61.37 0240202 WA SEATTLE (KING COUNTY), WASHINGTON 68.49 68.49 0095100 WI WISCONSIN 58.46 58.46 1140216 WV WEST VIRGINIA 52.60 52.60 0360221 WY WYOMING 61.06 61.06 *Facility: Includes hospitals (inpatient, outpatient and emergency department), ambulatory surgical centers (ASCs) and skilled nursing facilities (SNFs) **Non Facility: Includes all other settings.
CPT Code 94070 - Bronchospasm Provocation Evaluation * 0210201 AK ALASKA 73.72 73.72 1010200 AL ALABAMA 55.13 55.13 0710213 AR ARKANSAS 54.46 54.46 0310200 AZ ARIZONA 59.70 59.70 0110203 CA1 MARIN/NAPA/SOLANO, CALIFORNIA 70.56 70.56 0110207 CA1 OAKLAND/BERKELEY, CALIFORNIA 70.31 70.31 0110299 CA1 REST OF CALIFORNIA 63.30 63.30 0110205 CA1 SAN FRANCISCO, CALIFORNIA 75.01 75.01 0110206 CA1 SAN MATEO, CALIFORNIA 74.57 74.57 0110209 CA1 SANTA CLARA, CA 73.94 73.94 0119226 CA2 ANAHEIM/SANTA ANA, CALIFORNIA 68.83 68.83 0119218 CA2 LOS ANGELES, CALIFORNIA 66.65 66.65 0119299 CA2 REST OF CALIFORNIA 63.30 63.30 0119217 CA2 VENTURA, CALIFORNIA 67.44 67.44 0411201 CO COLORADO 60.45 60.45 1310200 CT CONNECTICUT 65.36 65.36 1220201 DC DC + MARYLAND/VIRGINIA SUBURBS 69.08 69.08 1210201 DE DELAWARE 61.68 61.68 0910203 FL FORT LAUDERDALE, FLORIDA 62.93 62.93 0910204 FL MIAMI, FLORIDA 64.19 64.19 0910299 FL REST OF FLORIDA 59.46 59.46 1020201 GA ATLANTA, GEORGIA 60.50 60.50 1020299 GA REST OF GEORGIA 56.30 56.30 0120201 HI HAWAII/GUAM 65.62 65.62 0510200 IA IOWA 55.41 55.41 0220200 ID IDAHO 55.67 55.67 0095216 IL CHICAGO, ILLINOIS 63.82 63.82 0095212 IL EAST ST. LOUIS, ILLINOIS 59.06 59.06 0095299 IL REST OF ILLINOIS 57.21 57.21 0095215 IL SUBURBAN CHICAGO, ILLINOIS 63.97 63.97 0810200 IN INDIANA 56.72 56.72 0520200 KS KANSAS 56.15 56.15 1510200 KY KENTUCKY 55.09 55.09 0720201 LA NEW ORLEANS, LOUSIANA 59.66 59.66 0720299 LA REST OF LOUISIANA 55.75 55.75 1420201 MA METROPOLITAN BOSTON, MASSACHUSETTS 65.91 65.91 1420299 MA REST OF MASSACHUSETTS 62.46 62.46 1230201 MD BALTIMORE/SURROUNDING COUNTIES, MARYLAND 64.61 64.61 1230299 MD REST OF MARYLAND 61.77 61.77 1410299 ME REST OF MAINE 56.38 56.38 1410203 ME SOUTHERN MAINE 60.29 60.29 0820201 MI DETROIT, MICHIGAN 61.55 61.55 0820299 MI REST OF MICHIGAN 57.29 57.29 0095400 MN MINNESOTA 59.78 59.78 0530202 MO METROPOLITAN KANSAS CITY, MISSOURI 58.62 58.62 0530201 MO METROPOLITAN ST. LOUIS, MISSOURI 58.76 58.76 0530299 MO REST OF MISSOURI 54.57 54.57
CPT Code 94070 - Bronchospasm Provocation Evaluation * 0730200 MS MISSISSIPPI 54.70 54.70 0320201 MT MONTANA 60.42 60.42 1150200 NC NORTH CAROLINA 57.15 57.15 0330201 ND NORTH DAKOTA 59.52 59.52 0540200 NE NEBRASKA 55.74 55.74 1430240 NH NEW HAMPSHIRE 61.89 61.89 1240201 NJ NORTHERN NEW JERSEY 68.04 68.04 1240299 NJ REST OF NEW JERSEY 65.47 65.47 0421205 NM NEW MEXICO 57.24 57.24 0130200 NV NEVADA 62.41 62.41 1328299 NY1 REST OF NEW YORK 57.54 57.54 1320201 NY2 MANHATTAN, NEW YORK 68.30 68.30 1320202 NY2 NYC SUBURBS/LONG ISLAND, NEW YORK 70.26 70.26 1320203 NY2 POUGHKEEPSIE/N NYC SUBURBS, NEW YORK 63.43 63.43 1329204 NY3 QUEENS, NEW YORK 69.94 69.94 1520200 OH OHIO 57.48 57.48 0431200 OK OKLAHOMA 54.81 54.81 0230201 OR PORTLAND, OR 61.56 61.56 0230299 OR REST OF OREGON 58.40 58.40 1250201 PA METROPOLITAN PHILADELPHIA, PENNSYLVANIA 63.93 63.93 1250299 PA REST OF PENSYLVANIA 57.32 57.32 0920220 PRV PUERTO RICO 47.66 47.66 0920250 PRV VIRGIN ISLANDS 60.34 60.34 1440201 RI RHODE ISLAND 62.55 62.55 1120201 SC SOUTH CAROLINA 56.32 56.32 0340202 SD SOUTH DAKOTA 59.35 59.35 1030235 TN TENNESSEE 55.70 55.70 0441231 TX AUSTIN, TEXAS 60.36 60.36 0441220 TX BEAUMONT, TEXAS 56.33 56.33 0441209 TX BRAZORIA, TEXAS 59.99 59.99 0441211 TX DALLAS, TEXAS 60.69 60.69 0441228 TX FORT WORTH, TEXAS 59.45 59.45 0441215 TX GALVESTON, TEXAS 60.63 60.63 0441218 TX HOUSTON, TEXAS 60.54 60.54 0441299 TX REST OF TEXAS 56.79 56.79 0350209 UT UTAH 57.36 57.36 1130200 VA VIRGINIA 59.12 59.12 1450250 VT VERMONT 59.86 59.86 0240299 WA REST OF WASHINGTON 60.23 60.23 0240202 WA SEATTLE (KING COUNTY), WASHINGTON 65.86 65.86 0095100 WI WISCONSIN 57.98 57.98 1140216 WV WEST VIRGINIA 54.29 54.29 0360221 WY WYOMING 60.51 60.51 *Facility: Includes hospitals (inpatient, outpatient and emergency department), ambulatory surgical centers (ASCs) and skilled nursing facilities (SNFs) **Non Facility: Includes all other settings.
CPT Code 94375 - Respiratory Flow Volume Loop * 0210201 AK ALASKA 47.13 47.13 1010200 AL ALABAMA 35.82 35.82 0710213 AR ARKANSAS 35.34 35.34 0310200 AZ ARIZONA 39.06 39.06 0110203 CA1 MARIN/NAPA/SOLANO, CALIFORNIA 47.01 47.01 0110207 CA1 OAKLAND/BERKELEY, CALIFORNIA 46.79 46.79 0110299 CA1 REST OF CALIFORNIA 41.73 41.73 0110205 CA1 SAN FRANCISCO, CALIFORNIA 50.20 50.20 0110206 CA1 SAN MATEO, CALIFORNIA 49.88 49.88 0110209 CA1 SANTA CLARA, CA 49.38 49.38 0119226 CA2 ANAHEIM/SANTA ANA, CALIFORNIA 45.69 45.69 0119218 CA2 LOS ANGELES, CALIFORNIA 44.07 44.07 0119299 CA2 REST OF CALIFORNIA 41.73 41.73 0119217 CA2 VENTURA, CALIFORNIA 44.72 44.72 0411201 CO COLORADO 39.61 39.61 1310200 CT CONNECTICUT 43.04 43.04 1220201 DC DC + MARYLAND/VIRGINIA SUBURBS 45.68 45.68 1210201 DE DELAWARE 40.50 40.50 0910203 FL FORT LAUDERDALE, FLORIDA 41.14 41.14 0910204 FL MIAMI, FLORIDA 41.80 41.80 0910299 FL REST OF FLORIDA 38.72 38.72 1020201 GA ATLANTA, GEORGIA 39.65 39.65 1020299 GA REST OF GEORGIA 36.56 36.56 0120201 HI HAWAII/GUAM 43.54 43.54 0510200 IA IOWA 36.05 36.05 0220200 ID IDAHO 36.22 36.22 0095216 IL CHICAGO, ILLINOIS 41.63 41.63 0095212 IL EAST ST. LOUIS, ILLINOIS 38.26 38.26 0095299 IL REST OF ILLINOIS 37.11 37.11 0095215 IL SUBURBAN CHICAGO, ILLINOIS 41.89 41.89 0810200 IN INDIANA 36.98 36.98 0520200 KS KANSAS 36.48 36.48 1510200 KY KENTUCKY 35.71 35.71 0720201 LA NEW ORLEANS, LOUSIANA 38.97 38.97 0720299 LA REST OF LOUISIANA 36.13 36.13 1420201 MA METROPOLITAN BOSTON, MASSACHUSETTS 43.67 43.67 1420299 MA REST OF MASSACHUSETTS 41.12 41.12 1230201 MD BALTIMORE/SURROUNDING COUNTIES, MARYLAND 42.50 42.50 1230299 MD REST OF MARYLAND 40.53 40.53 1410299 ME REST OF MAINE 36.71 36.71 1410203 ME SOUTHERN MAINE 39.60 39.60 0820201 MI DETROIT, MICHIGAN 40.17 40.17 0820299 MI REST OF MICHIGAN 37.26 37.26 0095400 MN MINNESOTA 39.35 39.35 0530202 MO METROPOLITAN KANSAS CITY, MISSOURI 38.20 38.20 0530201 MO METROPOLITAN ST. LOUIS, MISSOURI 38.33 38.33 0530299 MO REST OF MISSOURI 35.26 35.26
CPT Code 94375 - Respiratory Flow Volume Loop * 0730200 MS MISSISSIPPI 35.46 35.46 0320201 MT MONTANA 39.52 39.52 1150200 NC NORTH CAROLINA 37.25 37.25 0330201 ND NORTH DAKOTA 39.07 39.07 0540200 NE NEBRASKA 36.34 36.34 1430240 NH NEW HAMPSHIRE 40.72 40.72 1240201 NJ NORTHERN NEW JERSEY 45.00 45.00 1240299 NJ REST OF NEW JERSEY 43.18 43.18 0421205 NM NEW MEXICO 37.20 37.20 0130200 NV NEVADA 41.01 41.01 1328299 NY1 REST OF NEW YORK 37.56 37.56 1320201 NY2 MANHATTAN, NEW YORK 44.96 44.96 1320202 NY2 NYC SUBURBS/LONG ISLAND, NEW YORK 46.35 46.35 1320203 NY2 POUGHKEEPSIE/N NYC SUBURBS, NEW YORK 41.66 41.66 1329204 NY3 QUEENS, NEW YORK 46.07 46.07 1520200 OH OHIO 37.36 37.36 0431200 OK OKLAHOMA 35.50 35.50 0230201 OR PORTLAND, OR 40.52 40.52 0230299 OR REST OF OREGON 38.20 38.20 1250201 PA METROPOLITAN PHILADELPHIA, PENNSYLVANIA 41.94 41.94 1250299 PA REST OF PENSYLVANIA 37.27 37.27 0920220 PRV PUERTO RICO 30.39 30.39 0920250 PRV VIRGIN ISLANDS 39.52 39.52 1440201 RI RHODE ISLAND 41.07 41.07 1120201 SC SOUTH CAROLINA 36.68 36.68 0340202 SD SOUTH DAKOTA 38.99 38.99 1030235 TN TENNESSEE 36.25 36.25 0441231 TX AUSTIN, TEXAS 39.62 39.62 0441220 TX BEAUMONT, TEXAS 36.58 36.58 0441209 TX BRAZORIA, TEXAS 39.21 39.21 0441211 TX DALLAS, TEXAS 39.78 39.78 0441228 TX FORT WORTH, TEXAS 38.92 38.92 0441215 TX GALVESTON, TEXAS 39.68 39.68 0441218 TX HOUSTON, TEXAS 39.63 39.63 0441299 TX REST OF TEXAS 36.96 36.96 0350209 UT UTAH 37.27 37.27 1130200 VA VIRGINIA 38.69 38.69 1450250 VT VERMONT 39.30 39.30 0240299 WA REST OF WASHINGTON 39.55 39.55 0240202 WA SEATTLE (KING COUNTY), WASHINGTON 43.60 43.60 0095100 WI WISCONSIN 37.93 37.93 1140216 WV WEST VIRGINIA 34.95 34.95 0360221 WY WYOMING 39.57 39.57 *Facility: Includes hospitals (inpatient, outpatient and emergency department), ambulatory surgical centers (ASCs) and skilled nursing facilities (SNFs) **Non Facility: Includes all other settings.
CPT Code 95070 - Inhalation Bronchial Challenge Testing * 0210201 AK ALASKA 31.79 31.79 1010200 AL ALABAMA 25.79 25.79 0710213 AR ARKANSAS 25.30 25.30 0310200 AZ ARIZONA 29.04 29.04 0110203 CA1 MARIN/NAPA/SOLANO, CALIFORNIA 36.93 36.93 0110207 CA1 OAKLAND/BERKELEY, CALIFORNIA 36.65 36.65 0110299 CA1 REST OF CALIFORNIA 31.67 31.67 0110205 CA1 SAN FRANCISCO, CALIFORNIA 40.04 40.04 0110206 CA1 SAN MATEO, CALIFORNIA 39.72 39.72 0110209 CA1 SANTA CLARA, CA 39.11 39.11 0119226 CA2 ANAHEIM/SANTA ANA, CALIFORNIA 35.60 35.60 0119218 CA2 LOS ANGELES, CALIFORNIA 33.88 33.88 0119299 CA2 REST OF CALIFORNIA 31.67 31.67 0119217 CA2 VENTURA, CALIFORNIA 34.70 34.70 0411201 CO COLORADO 29.60 29.60 1310200 CT CONNECTICUT 32.82 32.82 1220201 DC DC + MARYLAND/VIRGINIA SUBURBS 35.31 35.31 1210201 DE DELAWARE 30.43 30.43 0910203 FL FORT LAUDERDALE, FLORIDA 30.87 30.87 0910204 FL MIAMI, FLORIDA 31.24 31.24 0910299 FL REST OF FLORIDA 28.49 28.49 1020201 GA ATLANTA, GEORGIA 29.65 29.65 1020299 GA REST OF GEORGIA 26.41 26.41 0120201 HI HAWAII/GUAM 33.84 33.84 0510200 IA IOWA 26.05 26.05 0220200 ID IDAHO 26.20 26.20 0095216 IL CHICAGO, ILLINOIS 31.03 31.03 0095212 IL EAST ST. LOUIS, ILLINOIS 27.81 27.81 0095299 IL REST OF ILLINOIS 26.84 26.84 0095215 IL SUBURBAN CHICAGO, ILLINOIS 31.50 31.50 0810200 IN INDIANA 26.97 26.97 0520200 KS KANSAS 26.38 26.38 1510200 KY KENTUCKY 25.58 25.58 0720201 LA NEW ORLEANS, LOUSIANA 28.85 28.85 0720299 LA REST OF LOUISIANA 25.94 25.94 1420201 MA METROPOLITAN BOSTON, MASSACHUSETTS 33.80 33.80 1420299 MA REST OF MASSACHUSETTS 31.13 31.13 1230201 MD BALTIMORE/SURROUNDING COUNTIES, MARYLAND 32.26 32.26 1230299 MD REST OF MARYLAND 30.41 30.41 1410299 ME REST OF MAINE 26.67 26.67 1410203 ME SOUTHERN MAINE 29.72 29.72 0820201 MI DETROIT, MICHIGAN 29.84 29.84 0820299 MI REST OF MICHIGAN 27.12 27.12 0095400 MN MINNESOTA 29.59 29.59 0530202 MO METROPOLITAN KANSAS CITY, MISSOURI 28.06 28.06 0530201 MO METROPOLITAN ST. LOUIS, MISSOURI 28.23 28.23 0530299 MO REST OF MISSOURI 25.02 25.02
CPT Code 95070 - Inhalation Bronchial Challenge Testing * 0730200 MS MISSISSIPPI 25.35 25.35 0320201 MT MONTANA 29.43 29.43 1150200 NC NORTH CAROLINA 27.22 27.22 0330201 ND NORTH DAKOTA 29.21 29.21 0540200 NE NEBRASKA 26.41 26.41 1430240 NH NEW HAMPSHIRE 30.81 30.81 1240201 NJ NORTHERN NEW JERSEY 34.74 34.74 1240299 NJ REST OF NEW JERSEY 33.06 33.06 0421205 NM NEW MEXICO 27.02 27.02 0130200 NV NEVADA 31.01 31.01 1328299 NY1 REST OF NEW YORK 27.57 27.57 1320201 NY2 MANHATTAN, NEW YORK 34.35 34.35 1320202 NY2 NYC SUBURBS/LONG ISLAND, NEW YORK 35.79 35.79 1320203 NY2 POUGHKEEPSIE/N NYC SUBURBS, NEW YORK 31.51 31.51 1329204 NY3 QUEENS, NEW YORK 35.39 35.39 1520200 OH OHIO 27.18 27.18 0431200 OK OKLAHOMA 25.35 25.35 0230201 OR PORTLAND, OR 30.62 30.62 0230299 OR REST OF OREGON 28.24 28.24 1250201 PA METROPOLITAN PHILADELPHIA, PENNSYLVANIA 31.65 31.65 1250299 PA REST OF PENSYLVANIA 27.10 27.10 0920220 PRV PUERTO RICO 20.18 20.18 0920250 PRV VIRGIN ISLANDS 29.49 29.49 1440201 RI RHODE ISLAND 30.90 30.90 1120201 SC SOUTH CAROLINA 26.66 26.66 0340202 SD SOUTH DAKOTA 29.17 29.17 1030235 TN TENNESSEE 26.24 26.24 0441231 TX AUSTIN, TEXAS 29.69 29.69 0441220 TX BEAUMONT, TEXAS 26.42 26.42 0441209 TX BRAZORIA, TEXAS 29.03 29.03 0441211 TX DALLAS, TEXAS 29.68 29.68 0441228 TX FORT WORTH, TEXAS 28.93 28.93 0441215 TX GALVESTON, TEXAS 29.51 29.51 0441218 TX HOUSTON, TEXAS 29.47 29.47 0441299 TX REST OF TEXAS 26.87 26.87 0350209 UT UTAH 27.07 27.07 1130200 VA VIRGINIA 28.71 28.71 1450250 VT VERMONT 29.41 29.41 0240299 WA REST OF WASHINGTON 29.66 29.66 0240202 WA SEATTLE (KING COUNTY), WASHINGTON 33.62 33.62 0095100 WI WISCONSIN 28.00 28.00 1140216 WV WEST VIRGINIA 24.59 24.59 0360221 WY WYOMING 29.46 29.46 *Facility: Includes hospitals (inpatient, outpatient and emergency department), ambulatory surgical centers (ASCs) and skilled nursing facilities (SNFs) **Non Facility: Includes all other settings.
CPT Code 94664 - Bronchodilator Demonstration/Evaluation * 0210201 AK ALASKA 18.55 18.55 1010200 AL ALABAMA 15.04 15.04 0710213 AR ARKANSAS 14.76 14.76 0310200 AZ ARIZONA 16.99 16.99 0110203 CA1 MARIN/NAPA/SOLANO, CALIFORNIA 21.50 21.50 0110207 CA1 OAKLAND/BERKELEY, CALIFORNIA 21.34 21.34 0110299 CA1 REST OF CALIFORNIA 18.47 18.47 0110205 CA1 SAN FRANCISCO, CALIFORNIA 23.31 23.31 0110206 CA1 SAN MATEO, CALIFORNIA 23.12 23.12 0110209 CA1 SANTA CLARA, CA 22.76 22.76 0119226 CA2 ANAHEIM/SANTA ANA, CALIFORNIA 20.77 20.77 0119218 CA2 LOS ANGELES, CALIFORNIA 19.77 19.77 0119299 CA2 REST OF CALIFORNIA 18.47 18.47 0119217 CA2 VENTURA, CALIFORNIA 20.24 20.24 0411201 CO COLORADO 17.32 17.32 1310200 CT CONNECTICUT 19.23 19.23 1220201 DC DC + MARYLAND/VIRGINIA SUBURBS 20.67 20.67 1210201 DE DELAWARE 17.79 17.79 0910203 FL FORT LAUDERDALE, FLORIDA 18.19 18.19 0910204 FL MIAMI, FLORIDA 18.53 18.53 0910299 FL REST OF FLORIDA 16.74 16.74 1020201 GA ATLANTA, GEORGIA 17.34 17.34 1020299 GA REST OF GEORGIA 15.46 15.46 0120201 HI HAWAII/GUAM 19.73 19.73 0510200 IA IOWA 15.19 15.19 0220200 ID IDAHO 15.28 15.28 0095216 IL CHICAGO, ILLINOIS 18.31 18.31 0095212 IL EAST ST. LOUIS, ILLINOIS 16.43 16.43 0095299 IL REST OF ILLINOIS 15.77 15.77 0095215 IL SUBURBAN CHICAGO, ILLINOIS 18.53 18.53 0810200 IN INDIANA 15.74 15.74 0520200 KS KANSAS 15.43 15.43 1510200 KY KENTUCKY 14.96 14.96 0720201 LA NEW ORLEANS, LOUSIANA 16.91 16.91 0720299 LA REST OF LOUISIANA 15.20 15.20 1420201 MA METROPOLITAN BOSTON, MASSACHUSETTS 19.72 19.72 1420299 MA REST OF MASSACHUSETTS 18.17 18.17 1230201 MD BALTIMORE/SURROUNDING COUNTIES, MARYLAND 18.90 18.90 1230299 MD REST OF MARYLAND 17.79 17.79 1410299 ME REST OF MAINE 15.57 15.57 1410203 ME SOUTHERN MAINE 17.34 17.34 0820201 MI DETROIT, MICHIGAN 17.55 17.55 0820299 MI REST OF MICHIGAN 15.89 15.89 0095400 MN MINNESOTA 17.21 17.21 0530202 MO METROPOLITAN KANSAS CITY, MISSOURI 16.45 16.45 0530201 MO METROPOLITAN ST. LOUIS, MISSOURI 16.54 16.54 0530299 MO REST OF MISSOURI 14.66 14.66
CPT Code 94664 - Bronchodilator Demonstration/Evaluation * 0730200 MS MISSISSIPPI 14.81 14.81 0320201 MT MONTANA 17.25 17.25 1150200 NC NORTH CAROLINA 15.90 15.90 0330201 ND NORTH DAKOTA 17.03 17.03 0540200 NE NEBRASKA 15.38 15.38 1430240 NH NEW HAMPSHIRE 18.01 18.01 1240201 NJ NORTHERN NEW JERSEY 20.32 20.32 1240299 NJ REST OF NEW JERSEY 19.34 19.34 0421205 NM NEW MEXICO 15.84 15.84 0130200 NV NEVADA 18.16 18.16 1328299 NY1 REST OF NEW YORK 16.10 16.10 1320201 NY2 MANHATTAN, NEW YORK 20.16 20.16 1320202 NY2 NYC SUBURBS/LONG ISLAND, NEW YORK 21.04 21.04 1320203 NY2 POUGHKEEPSIE/N NYC SUBURBS, NEW YORK 18.47 18.47 1329204 NY3 QUEENS, NEW YORK 20.81 20.81 1520200 OH OHIO 15.94 15.94 0431200 OK OKLAHOMA 14.83 14.83 0230201 OR PORTLAND, OR 17.87 17.87 0230299 OR REST OF OREGON 16.49 16.49 1250201 PA METROPOLITAN PHILADELPHIA, PENNSYLVANIA 18.58 18.58 1250299 PA REST OF PENSYLVANIA 15.88 15.88 0920220 PRV PUERTO RICO 11.75 11.75 0920250 PRV VIRGIN ISLANDS 17.26 17.26 1440201 RI RHODE ISLAND 18.08 18.08 1120201 SC SOUTH CAROLINA 15.56 15.56 0340202 SD SOUTH DAKOTA 16.99 16.99 1030235 TN TENNESSEE 15.31 15.31 0441231 TX AUSTIN, TEXAS 17.34 17.34 0441220 TX BEAUMONT, TEXAS 15.47 15.47 0441209 TX BRAZORIA, TEXAS 16.99 16.99 0441211 TX DALLAS, TEXAS 17.34 17.34 0441228 TX FORT WORTH, TEXAS 16.90 16.90 0441215 TX GALVESTON, TEXAS 17.27 17.27 0441218 TX HOUSTON, TEXAS 17.24 17.24 0441299 TX REST OF TEXAS 15.71 15.71 0350209 UT UTAH 15.88 15.88 1130200 VA VIRGINIA 16.78 16.78 1450250 VT VERMONT 17.16 17.16 0240299 WA REST OF WASHINGTON 17.31 17.31 0240202 WA SEATTLE (KING COUNTY), WASHINGTON 19.61 19.61 0095100 WI WISCONSIN 16.33 16.33 1140216 WV WEST VIRGINIA 14.46 14.46 0360221 WY WYOMING 17.28 17.28 *Facility: Includes hospitals (inpatient, outpatient and emergency department), ambulatory surgical centers (ASCs) and skilled nursing facilities (SNFs) **Non Facility: Includes all other settings.