# CPT 94200: Maximum breathing capacity, maximal voluntary ventilation

Medicare CPT 94200 pays $16.37 in a non-facility setting and $16.37 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $14.06 in Arkansas to $19.03 in District of Columbia, a 35% spread.

Web page: https://www.med-reveal.com/rates/94200-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: Pulmonary Disease

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $16.37 |
| National facility | $16.37 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $19.03 | $19.03 |
| California | $18.69 | $18.69 |
| New York | $18.31 | $18.31 |
| New Jersey | $18.27 | $18.27 |
| Washington | $18.24 | $18.24 |
| Massachusetts | $18.04 | $18.04 |
| Hawaii | $18.01 | $18.01 |
| Alaska | $17.81 | $17.81 |
| Connecticut | $17.62 | $17.62 |
| Colorado | $17.14 | $17.14 |
| Florida | $17.05 | $17.05 |
| Maryland | $17.04 | $17.04 |
| Oregon | $16.95 | $16.95 |
| New Hampshire | $16.86 | $16.86 |
| Rhode Island | $16.79 | $16.79 |
| Illinois | $16.51 | $16.51 |
| Puerto Rico | $16.51 | $16.51 |
| Virgin Islands | $16.51 | $16.51 |
| Montana | $16.37 | $16.37 |
| Minnesota | $16.30 | $16.30 |
| Nevada | $16.27 | $16.27 |
| Wyoming | $16.19 | $16.19 |
| Delaware | $16.14 | $16.14 |
| Pennsylvania | $16.14 | $16.14 |
| Texas | $16.11 | $16.11 |
| North Dakota | $15.97 | $15.97 |
| Virginia | $15.93 | $15.93 |
| South Dakota | $15.92 | $15.92 |
| Vermont | $15.90 | $15.90 |
| Georgia | $15.86 | $15.86 |
| Arizona | $15.84 | $15.84 |
| Michigan | $15.78 | $15.78 |
| Maine | $15.49 | $15.49 |
| Utah | $15.46 | $15.46 |
| New Mexico | $15.34 | $15.34 |
| Wisconsin | $15.31 | $15.31 |
| Missouri | $15.20 | $15.20 |
| South Carolina | $15.20 | $15.20 |
| North Carolina | $15.19 | $15.19 |
| Louisiana | $15.18 | $15.18 |
| Ohio | $15.15 | $15.15 |
| Indiana | $15.00 | $15.00 |
| Idaho | $14.89 | $14.89 |
| Nebraska | $14.87 | $14.87 |
| West Virginia | $14.82 | $14.82 |
| Tennessee | $14.78 | $14.78 |
| Iowa | $14.77 | $14.77 |
| Kentucky | $14.75 | $14.75 |
| Oklahoma | $14.72 | $14.72 |
| Kansas | $14.69 | $14.69 |
| Alabama | $14.32 | $14.32 |
| Mississippi | $14.24 | $14.24 |
| Arkansas | $14.06 | $14.06 |

## Related codes

- 94002: Ventilation assist management, hospital inpatient, initial day — https://www.med-reveal.com/rates/94002-cpt-fee-schedule
- 94003: Ventilation assist management, hospital inpatient, each subsequent day — https://www.med-reveal.com/rates/94003-cpt-fee-schedule
- 94010: Spirometry, including graphic record — https://www.med-reveal.com/rates/94010-cpt-fee-schedule
- 94060: Bronchodilation responsiveness, spirometry pre and post — https://www.med-reveal.com/rates/94060-cpt-fee-schedule
- 94070: Bronchospasm provocation evaluation, multiple spirometric determinations — https://www.med-reveal.com/rates/94070-cpt-fee-schedule
- 94150: Vital capacity, total (separate procedure) — https://www.med-reveal.com/rates/94150-cpt-fee-schedule
- 94375: Respiratory flow volume loop — https://www.med-reveal.com/rates/94375-cpt-fee-schedule
- 94400: Breathing response to CO2 — https://www.med-reveal.com/rates/94400-cpt-fee-schedule

Commercial negotiated rates for 94200 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules