`94619` Exercise tst brncspsm wo ecg

What 94619 is

CMS fee schedule short descriptor: Exercise tst brncspsm wo ecg.

Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.

Medicare payment for 94619 (CY2026)

	Work RVU	Practice expense RVU	Malpractice RVU	Total	Medicare rate
Non-facility (office)	0.48	1.49	0.03	2.00	$66.80
Facility (hospital, ASC)	0.48	1.49	0.03	2.00	$66.80

National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.

Adjust for a Medicare locality:

Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.

Medically Unlikely Edit (MUE)

Medicare caps 94619 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Nature of Service/Procedure. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 94619? These codes are bundled into it

94619 is a Column 1 code in 14 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 code	Short description	Modifier indicator
`0903T`	Ecg alg 12 lead reduced i&r	1 - modifier may bypass	Check pair
`0904T`	Ecg alg 12 ld rdcd trcg only	1 - modifier may bypass	Check pair
`0905T`	Ecg alg 12 ld rdcd i&r only	1 - modifier may bypass	Check pair
`36591`	Draw blood off venous device	0 - no modifier bypass	Check pair
`36592`	Collect blood from picc	0 - no modifier bypass	Check pair
`93000`	Electrocardiogram complete	0 - no modifier bypass	Check pair
`93005`	Electrocardiogram tracing	0 - no modifier bypass	Check pair
`93010`	Electrocardiogram report	0 - no modifier bypass	Check pair
`93040`	Rhythm ecg with report	0 - no modifier bypass	Check pair
`93041`	Rhythm ecg tracing	0 - no modifier bypass	Check pair
`93042`	Rhythm ecg report	0 - no modifier bypass	Check pair
`94760`	N-invas ear/pls oximetry 1	0 - no modifier bypass	Check pair
`94761`	N-invas ear/pls oximetry mlt	0 - no modifier bypass	Check pair
`96523`	Irrig drug delivery device	0 - no modifier bypass	Check pair

94619 is bundled into these codes

94619 appears as a Column 2 code in 5 active edits. Reported with one of these Column 1 codes on the same date of service, 94619 is the code that denies.

Column 1 code	Short description
`93015`	Cv stress test supvj i&r	Check pair
`93016`	Cv stress test supvj only	Check pair
`93017`	Cv stress test tracing only	Check pair
`93018`	Cv stress test i&r only	Check pair
`94617`	Exercise tst brncspsm w/ecg	Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.