CPT 94619
Global XXX ActiveExercise tst brncspsm wo ecg
CPT 94619 Billing & Documentation Guide
CPT code 94619 (Exercise tst brncspsm wo ecg) is classified under Pulmonary with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.48, a non-facility practice expense RVU of 1.49, and a malpractice RVU of 0.03, a total non-facility RVU of 2 and facility RVU of 2. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $69.16, though rates vary from $59.3 to $90.1 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 94619, 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 94619 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 94619 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 94619
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.48 | 0.48 |
| Practice Expense RVU | 1.49 | 1.49 |
| Malpractice RVU | 0.03 | 0.03 |
| Total RVU | 2 | 2 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 94619
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 | $76.04 | $76.04 | $71.39 - $90.1 | 29 |
| Florida | $67.92 | $67.92 | $65.12 - $70.37 | 3 |
| Georgia | $64.74 | $64.74 | $61.62 - $67.85 | 2 |
| Illinois | $66.09 | $66.09 | $63.04 - $69.03 | 4 |
| Michigan | $64.18 | $64.18 | $62.6 - $65.75 | 2 |
| North Carolina | $63.11 | $63.11 | $63.11 - $63.11 | 1 |
| New York | $73.68 | $73.68 | $64.02 - $78.09 | 5 |
| Ohio | $62.48 | $62.48 | $62.48 - $62.48 | 1 |
| Pennsylvania | $66 | $66 | $62.67 - $69.32 | 2 |
| Texas | $66.05 | $66.05 | $62.25 - $69.61 | 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 94619
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 94619 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0903T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0905T | Column 1 (primary), can be billed with modifier | Yes | 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 |
| 93000 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 93005 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 93010 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 93040 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 93041 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 94619
What does CPT code 94619 mean? +
CPT code 94619 represents: Exercise tst brncspsm wo ecg. It's in the Pulmonary category with a global period of XXX.
What is the Medicare reimbursement for CPT 94619? +
The 2026 Medicare national average non-facility payment for CPT 94619 is $69.16. Rates range from $59.3 to $90.1 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 94619? +
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 94619? +
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 May 31, 2026.
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