CPT code 94660: CPAP management, initiation and management2026 Medicare rate & RVUs in Kentucky

Report CPAP initiation and management when a clinician starts or manages continuous positive airway pressure therapy, commonly for obstructive sleep apnea.

CMS RVU26DEffective Oct 1, 2026One payment locality28.6K Medicare services in 2024

In Kentucky, Medicare pays $64.26 for 94660 in the office and $31.60 when it’s performed in a hospital or facility.

$64.26Office (non-facility)
$31.60Hospital or facility
−7.1%vs the national office rate ($69.14)

Check a contract rate as a % of Medicare · 94660 nationwide

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

We’ll open 94660 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Kentucky
  2. What 94660 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 94660 covers

This service covers a clinician’s work to begin or manage continuous positive airway pressure (CPAP) therapy. It is commonly provided by pulmonary or sleep-medicine clinicians for patients with obstructive sleep apnea, in an office or facility setting. The service concerns the patient’s CPAP treatment, such as getting therapy started and addressing its use; it is distinct from supplying or renting the CPAP equipment.

Report 94660 when the documented encounter includes CPAP initiation or management, not merely a discussion of a planned treatment or a note that the patient already uses CPAP. Documentation should identify the clinical reason for therapy and the work performed, such as device or interface setup, changes made, patient instruction, or response when applicable. CMS values practice expense differently for office and facility settings, so the place of service affects the payment valuation. The code has no add-on designation.

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 Kentucky compares for 94660

Across 109 of 109 payment localities, the office rate for 94660 runs from $62.19 in Arkansas to $89.68 in San Benito County, CA. Kentucky pays $64.26. The RVUs are the same everywhere; the geographic indexes change the dollars.

94660 in Kentucky vs other payment areas
  1. Kentucky · this page$64.26
  2. Los Angeles, CA · California$77.24+$12.98
  3. Washington, DC area · District of Columbia$78.25+$13.99
  4. Miami, FL · Florida$73.94+$9.68
  5. Chicago, IL · Illinois$72.12+$7.86
  6. Manhattan, NY · New York$78.77+$14.51
  7. Alaska · Alaska$83.36+$19.10

Other areas in Kentucky first, then benchmark localities. Bars start at $0.

Every other payment area

94660 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$62.97$30.82
ArkansasArkansas$62.19$30.63
ArizonaArizona$67.54$31.93
Bakersfield, CACalifornia$72.90$32.63
Chico, CACalifornia$72.70$32.43
El Centro, CACalifornia$72.71$32.44
Fresno, CACalifornia$72.70$32.43
Hanford, CACalifornia$72.70$32.43

94660 rates by state

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

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$62.19

$83.36

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
94660 office rate range by state
State / territoryOffice rate rangeLocalities
AK$83.361
AL$62.971
AR$62.191
AZ$67.541
CA$72.70–$89.6829
CO$71.711
CT$73.321
DC$78.251
DE$68.551
FL$68.28–$73.943
GA$64.94–$70.302
GU$74.111
HI$74.111
IA$64.331
ID$64.691
IL$66.58–$72.124
IN$65.011
KS$64.071
KY$64.261
LA$64.18–$66.912
MA$71.38–$78.162
MD$69.73–$78.253
ME$64.99–$68.022
MI$65.71–$69.032
MN$68.961
MO$63.23–$67.113
MS$62.721
MT$69.141
NC$65.571
ND$67.951
NE$64.631
NH$70.631
NJ$74.23–$77.622
NM$66.021
NV$68.851
NY$66.42–$80.465
OH$65.471
OK$64.151
OR$68.37–$73.732
PA$65.55–$71.712
PR$69.581
RI$70.791
SC$65.621
SD$67.811
TN$64.351
TX$65.18–$71.428
UT$66.391
VA$67.83–$78.252
VI$69.581
VT$67.731
WA$71.23–$79.642
WI$65.971
WV$64.451
WY$68.621

See 94660 in every payment locality

How the 94660 rate is calculated

Each of 94660’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.

How the rate is built · 94660

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.74

0.74 RVUs× 1.000 GPCI

Practice expense1.27

1.27 RVUs× 1.000 GPCI

Malpractice0.06

0.06 RVUs× 1.000 GPCI

Adjusted RVUs

2.0700

Conversion factor

$33.4009

Medicare rate

$69.14

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Kentucky inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,416

Code
94660
Physician work
0.74
Practice expense
1.27
Malpractice
0.06

GPCI2026.csv

55

Locality
Kentucky
Physician work
1.000
Practice expense
0.889
Malpractice
0.915
Office calculation for 94660 in Kentucky
ComponentRVULocality factorAdjusted
Physician work0.74× 1.0000.7400
Practice expense1.27× 0.8891.1290
Malpractice0.06× 0.9150.0549
Total RVUs1.9239
Conversion factor× 33.4009

Office rate, Kentucky$64.26

Office: (0.74 × 1 + 1.27 × 0.889 + 0.06 × 0.915) × $33.4009 = $64.26

Facility: (0.74 × 1 + 0.17 × 0.889 + 0.06 × 0.915) × $33.4009 = $31.60

Open 94660 in the RVU calculator

Payment rules and modifiers for 94660

94660 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.

Place of service · 94660

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$69.14

Non-facility (office)
$69.14
Facility
$32.40

Higher because the practice carries its own overhead.

How 94660 has changed in Kentucky

94660 · Office / nonfacility

$64.26

Effective 2026-10-01

The base rate is $5.58 higher than on 2025-10-01, moving from $58.68 to $64.26 (9.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $58.68changed to$64.26

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.76 changed to 0.74
    • Practice expense RVU 1.15 changed to 1.27
    • Malpractice RVU 0.05 changed to 0.06
    • Practice expense GPCI 0.877 changed to 0.889
    • Malpractice GPCI 0.913 changed to 0.915

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $59.82changed to$58.68

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.12 changed to 1.15
    • Malpractice RVU 0.06 changed to 0.05

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $58.84changed to$59.82

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $58.88changed to$58.84

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.06 changed to 1.12
    • Practice expense GPCI 0.873 changed to 0.877
    • Malpractice GPCI 0.870 changed to 0.913
  5. January 1, 2023

    RVU23A

    $59.88changed to$58.88

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.05 changed to 1.06
    • Malpractice RVU 0.07 changed to 0.06
    • Practice expense GPCI 0.869 changed to 0.873
    • Malpractice GPCI 0.827 changed to 0.870

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $58.89changed to$59.88

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.02 changed to 1.05
    • Malpractice RVU 0.05 changed to 0.07

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $60.44changed to$58.89

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.99 changed to 1.02
    • Malpractice RVU 0.06 changed to 0.05
    • Practice expense GPCI 0.874 changed to 0.869
    • Malpractice GPCI 0.823 changed to 0.827

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $60.56changed to$60.44

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense GPCI 0.880 changed to 0.874
    • Malpractice GPCI 0.819 changed to 0.823

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $61.44changed to$60.56

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.02 changed to 0.99

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $59.82changed to$61.44

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.98 changed to 1.02
    • Practice expense GPCI 0.876 changed to 0.880
    • Malpractice GPCI 0.807 changed to 0.819

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $59.20changed to$59.82

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.97 changed to 0.98
    • Practice expense GPCI 0.872 changed to 0.876
    • Malpractice GPCI 0.795 changed to 0.807

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $58.82changed to$59.20

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.96 changed to 0.97
    • Malpractice RVU 0.05 changed to 0.06

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $58.53changed to$58.82

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $58.60changed to$58.53

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice GPCI 0.774 changed to 0.795

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $58.85changed to$58.60

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.07 changed to 0.96
    • Practice expense GPCI 0.871 changed to 0.872
    • Malpractice GPCI 0.752 changed to 0.774

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $58.85

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$64.26$31.60RVU26D
2026-07-01$64.26$31.60RVU26C
2026-04-01$64.26$31.60RVU26B
2026-01-01$64.26$31.60RVU26A
2025-10-01$58.68$34.00RVU25D
2025-07-01$58.68$34.00RVU25C
2025-04-01$58.68$34.00RVU25B
2025-01-01$58.68$34.00RVU25A
2024-10-01$59.82$35.30RVU24D
2024-07-01$59.82$35.30RVU24C
2024-04-01$59.82$35.30RVU24B
2024-03-09$59.82$35.30RVU24AR
2024-01-01$58.84$34.72RVU24A
2023-10-01$58.88$35.51RVU23D
2023-07-01$58.88$35.51RVU23C
2023-04-01$58.88$35.51RVU23B
2023-01-01$58.88$35.51RVU23A
2022-10-01$59.88$36.72RVU22D
2022-07-01$59.88$36.72RVU22C
2022-04-01$59.88$36.72RVU22B
2022-01-01$59.88$36.72RVU22A
2021-10-01$58.89$36.45RVU21D
2021-07-01$58.89$36.45RVU21C
2021-04-01$58.89$36.45RVU21B
2021-01-01$58.89$36.45RVU21A
2020-10-01$60.44$37.73RVU20D
2020-07-01$60.44$37.73RVU20C
2020-04-01$60.44$37.73RVU20B
2020-01-01$60.44$37.73RVU20A
2019-10-01$60.56$37.72RVU19D
2019-07-01$60.56$37.72RVU19C
2019-04-01$60.56$37.72RVU19B
2019-01-01$60.56$37.72RVU19A
2018-10-01$61.44$37.68RVU18D
2018-07-01$61.44$37.68RVU18C
2018-04-01$61.44$37.68RVU18B
2018-01-01$61.44$37.68RVU18AR1
2017-10-01$59.82$37.50RVU17D
2017-07-01$59.82$37.50RVU17C
2017-04-01$59.82$37.50RVU17B
2017-01-01$59.82$37.50RVU17A
2016-10-01$59.20$37.04RVU16D
2016-07-01$59.20$37.04RVU16C
2016-04-01$59.20$37.04RVU16B
2016-01-01$59.20$37.04RVU16A
2015-10-01$58.82$36.88RVU15D
2015-07-01$58.82$36.88RVU15C
2015-04-01$58.53$36.70RVU15B
2015-01-01$58.53$36.70RVU15A
2014-10-01$58.60$36.73RVU14D
2014-07-01$58.60$36.73RVU14C
2014-04-01$58.60$36.73RVU14B
2014-01-01$58.60$36.73RVU14A
2013-10-01$58.85$35.73RVU13D
2013-07-01$58.85$35.73RVU13C
2013-04-01$58.85$35.73RVU13B
2013-01-01$58.85$35.73RVU13AR

Price 94660 for an earlier date of service

Where the Kentucky rate applies

Kentucky is a Medicare payment area, not a city. Our Census mapping connects it to 553 cities and communities in Kentucky. Some span more than one payment area; confirm with the service ZIP.

  • Adairville
  • Ages
  • Albany
  • Alexandria
  • Allen
  • Allensville
  • Anchorage
  • Annville

Browse all communities in Kentucky

94660 billing questions

How is 94660 different from a CPAP titration sleep study?

94660 describes CPAP initiation or management. An attended sleep study that records sleep and titrates pressure is a separate service, such as 95811.

Does 94660 pay for the CPAP machine or mask?

No. It represents the clinical service of initiating or managing therapy, not the purchase or rental of equipment.

Can 94664 be used for CPAP mask instruction?

94664 concerns demonstration or evaluation of aerosol-device use, such as an inhaler or nebulizer. CPAP initiation and management belong under 94660 when that is the service performed.

What should the record show to support 94660?

Document the reason for CPAP therapy and the initiation or management work performed. Include relevant setup or interface changes, instruction, and the patient’s response when these occurred.

Is 94660 reported for a diagnostic sleep study?

No. A diagnostic polysomnography service is distinct from CPAP initiation and management; select the sleep-study code that matches the study performed.

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

Show the CMS file lines behind this rate
RVUs for 94660PPRRVU2026_Oct_nonQPP.csv, line 12,416 (RVU26D)
Geographic factors for KentuckyGPCI2026.csv, line 55 (RVU26D)

Open CMS sourceHow we calculate rates

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