CPT code 94625: Pulmonary rehab, without continuous ECG monitoring2026 Medicare rate & RVUs in Vermont

In Vermont, Medicare pays $85.62 for 94625 in the office and $15.51 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 94625 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 94625 covers

94625 represents one outpatient pulmonary rehabilitation session delivered by a physician or other qualified health care professional without continuous ECG monitoring. These sessions are part of structured rehabilitation for people with chronic pulmonary disease, such as COPD, and may include individualized physical conditioning and disease-management education. The service is rehabilitation, not a diagnostic exercise stress test or a stand-alone inhaler demonstration.

Report one unit for the session, selecting 94625 when continuous ECG monitoring is not used; use 94626 for a session with continuous ECG monitoring. Documentation should identify the pulmonary rehabilitation session, activities provided, and monitoring approach. CMS assigns separate office and facility practice-expense inputs in the physician fee schedule, so the setting affects the fee-schedule valuation used for the service.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Vermont compares for 94625

Across 109 of 109 payment localities, the office rate for 94625 runs from $76.01 in Arkansas to $120.20 in San Benito County, CA. Vermont pays $85.62. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

94625 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 94625 in every payment locality

How the 94625 rate is calculated

Each of 94625’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 94625

94625 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Codes related to 94625

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 94625 has changed in Vermont

Price 94625 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

• Albany
• Alburgh
• Algiers
• Arlington
• Ascutney
• Bakersfield
• Barnet
• Barre

Browse all communities in Vermont

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates