CPT 94014
Global XXX ActivePatient recorded spirometry
CPT 94014 Billing & Documentation Guide
CPT code 94014 (Patient recorded spirometry) is classified under Pulmonary with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.51, a non-facility practice expense RVU of 1.25, and a malpractice RVU of 0.03, a total non-facility RVU of 1.79 and facility RVU of 1.79. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $61.81, though rates vary from $53.41 to $79.65 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 94014, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 94014 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 94014 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 94014
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.51 | 0.51 |
| Practice Expense RVU | 1.25 | 1.25 |
| Malpractice RVU | 0.03 | 0.03 |
| Total RVU | 1.79 | 1.79 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 94014
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $67.59 | $67.59 | $63.62 - $79.65 | 29 |
| Florida | $60.87 | $60.87 | $58.45 - $63.03 | 3 |
| Georgia | $58.09 | $58.09 | $55.47 - $60.71 | 2 |
| Illinois | $59.35 | $59.35 | $56.72 - $61.81 | 4 |
| Michigan | $57.64 | $57.64 | $56.28 - $59.01 | 2 |
| North Carolina | $56.63 | $56.63 | $56.63 - $56.63 | 1 |
| New York | $65.78 | $65.78 | $57.4 - $69.63 | 5 |
| Ohio | $56.16 | $56.16 | $56.16 - $56.16 | 1 |
| Pennsylvania | $59.16 | $59.16 | $56.31 - $62 | 2 |
| Texas | $59.16 | $59.16 | $55.96 - $62.13 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 94014
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 94014 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 00520 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0243T | Column 1 (primary), can be billed with modifier | Yes | More extensive procedure |
| 0244T | Column 1 (primary), can be billed with modifier | Yes | More extensive procedure |
| 0733T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0734T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 94010 | Column 1 (primary), can be billed with modifier | Yes | More extensive procedure |
| 94011 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 94015 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
Frequently Asked Questions, CPT 94014
What does CPT code 94014 mean? +
CPT code 94014 represents: Patient recorded spirometry. It's in the Pulmonary category with a global period of XXX.
What is the Medicare reimbursement for CPT 94014? +
The 2026 Medicare national average non-facility payment for CPT 94014 is $61.81. Rates range from $53.41 to $79.65 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 94014? +
Medicine section spans a wide range: therapy services use GP/GO/GN (PT/OT/SLP plans of care) and KX (above cap with documentation). Drug administration uses JW (waste) and JZ (no waste). Professional/technical split applies to some diagnostic codes.
What bundling edits apply to CPT 94014? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on July 16, 2026.
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