CPT code 94664: Inhaler training, technique demonstration and evaluation2026 Medicare rate & RVUs in Alaska

Report this service when a clinician demonstrates or evaluates a patient's use of an inhaler, nebulizer, or other aerosol delivery device.

CMS RVU26DEffective Oct 1, 2026One payment locality100.7K Medicare services in 2024

In Alaska, Medicare pays $21.00 for 94664 in the office.

$21.00Office (non-facility)
Not available in this settingHospital or facility
+4.8%vs the national office rate ($20.04)

Check a contract rate as a % of Medicare · 94664 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 94664 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alaska
  2. What 94664 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 94664 covers

This service involves teaching a patient how to use an aerosol delivery device or watching the patient use it to evaluate technique. The clinician may correct errors such as poor coordination with a metered-dose inhaler or improper handling of a nebulizer. It is commonly provided in an office or other setting where respiratory care is delivered, by a physician or appropriately supervised clinical staff.

Report the service for device-use instruction or technique evaluation, not simply because an inhaled medication was administered. Documentation should identify the device, the instruction or evaluation performed, and relevant findings about the patient's technique. CMS treats 94664 as an incident-to service: it may be billed only when performed under physician supervision.

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 Alaska compares for 94664

Across 109 of 109 payment localities, the office rate for 94664 runs from $16.99 in Arkansas to $28.29 in San Benito County, CA. Alaska pays $21.00. The RVUs are the same everywhere; the geographic indexes change the dollars.

94664 in Alaska vs other payment areas
  1. Alaska · this page$21.00
  2. Los Angeles, CA · California$23.36+$2.36
  3. Washington, DC area · District of Columbia$23.56+$2.56
  4. Miami, FL · Florida$21.86+$0.86
  5. Chicago, IL · Illinois$21.00
  6. Manhattan, NY · New York$23.57+$2.57
  7. Alabama · Alabama$17.33−$3.67

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

Every other payment area

94664 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$16.99—
ArizonaArizona$19.34—
Bakersfield, CACalifornia$21.64—
Chico, CACalifornia$21.59—
El Centro, CACalifornia$21.59—
Fresno, CACalifornia$21.59—
Hanford, CACalifornia$21.59—
Madera, CACalifornia$21.59—

94664 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.

$16.99

$24.94

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

View every state and territory as a table
94664 office rate range by state
State / territoryOffice rate rangeLocalities
AK$21.001
AL$17.331
AR$16.991
AZ$19.341
CA$21.59–$28.2929
CO$21.131
CT$21.671
DC$23.561
DE$19.741
FL$19.52–$21.863
GA$18.08–$20.482
GU$22.411
HI$22.411
IA$17.991
ID$18.141
IL$18.73–$21.084
IN$18.281
KS$17.851
KY$17.831
LA$17.78–$18.992
MA$20.93–$23.732
MD$20.22–$23.563
ME$18.24–$19.622
MI$18.44–$19.822
MN$20.131
MO$17.35–$19.113
MS$17.171
MT$20.041
NC$18.501
ND$19.641
NE$18.131
NH$20.751
NJ$21.89–$23.192
NM$18.571
NV$19.951
NY$18.87–$24.275
OH$18.361
OK$17.821
OR$19.76–$22.022
PA$18.42–$20.962
PR$20.241
RI$20.611
SC$18.471
SD$19.601
TN$17.971
TX$18.25–$21.098
UT$18.811
VA$19.51–$23.562
VI$20.241
VT$19.521
WA$20.91–$24.322
WI$18.761
WV$17.791
WY$19.871

See 94664 in every payment locality

How the 94664 rate is calculated

Each of 94664’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 · 94664

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.58

0.58 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

0.6000

Conversion factor

$33.4009

Medicare rate

$20.04

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

The exact Alaska inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,417

Code
94664
Physician work
0.00
Practice expense
0.58
Malpractice
0.02

GPCI2026.csv

5

Locality
Alaska
Physician work
1.500
Practice expense
1.065
Malpractice
0.551
Office calculation for 94664 in Alaska
ComponentRVULocality factorAdjusted
Physician work0.00× 1.5000.0000
Practice expense0.58× 1.0650.6177
Malpractice0.02× 0.5510.0110
Total RVUs0.6287
Conversion factor× 33.4009

Office rate, Alaska$21.00

Office: (0 × 1.5 + 0.58 × 1.065 + 0.02 × 0.551) × $33.4009 = $21.00

Open 94664 in the RVU calculator

Payment rules and modifiers for 94664

The CMS indicators that decide how 94664 is paid alongside other services.

CMS payment indicators · 94664

Inhaler training, technique demonstration and evaluation

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical5Incident-to service.

How 94664 has changed in Alaska

94664 · Office / nonfacility

$21.00

Effective 2026-10-01

The base rate is $2.43 higher than on 2025-10-01, moving from $18.57 to $21.00 (13.1%).

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

    $18.57changed to$21.00

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.52 changed to 0.58
    • Practice expense GPCI 1.081 changed to 1.065
    • Malpractice GPCI 0.592 changed to 0.551

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $19.11changed to$18.57

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $18.79changed to$19.11

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $18.84changed to$18.79

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.50 changed to 0.52
    • Malpractice RVU 0.01 changed to 0.02
    • Practice expense GPCI 1.100 changed to 1.081
    • Malpractice GPCI 0.603 changed to 0.592
  5. January 1, 2023

    RVU23A

    $19.17changed to$18.84

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.49 changed to 0.50
    • Practice expense GPCI 1.118 changed to 1.100
    • Malpractice GPCI 0.614 changed to 0.603

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $18.94changed to$19.17

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.48 changed to 0.49

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $18.80changed to$18.94

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.46 changed to 0.48
    • Malpractice GPCI 0.661 changed to 0.614

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $19.18changed to$18.80

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.47 changed to 0.46
    • Practice expense GPCI 1.117 changed to 1.118
    • Malpractice GPCI 0.708 changed to 0.661

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $19.56changed to$19.18

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.48 changed to 0.47

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $19.41changed to$19.56

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 1.112 changed to 1.117
    • Malpractice GPCI 0.710 changed to 0.708

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $19.28changed to$19.41

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 1.107 changed to 1.112
    • Malpractice GPCI 0.712 changed to 0.710

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $19.35changed to$19.28

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $19.25changed to$19.35

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $18.55changed to$19.25

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.47 changed to 0.48
    • Practice expense GPCI 1.087 changed to 1.107
    • Malpractice GPCI 0.687 changed to 0.712

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $19.83changed to$18.55

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.54 changed to 0.47
    • Practice expense GPCI 1.067 changed to 1.087
    • Malpractice GPCI 0.661 changed to 0.687

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $19.83

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$21.00Not available in this settingRVU26D
2026-07-01$21.00Not available in this settingRVU26C
2026-04-01$21.00Not available in this settingRVU26B
2026-01-01$21.00Not available in this settingRVU26A
2025-10-01$18.57Not available in this settingRVU25D
2025-07-01$18.57Not available in this settingRVU25C
2025-04-01$18.57Not available in this settingRVU25B
2025-01-01$18.57Not available in this settingRVU25A
2024-10-01$19.11Not available in this settingRVU24D
2024-07-01$19.11Not available in this settingRVU24C
2024-04-01$19.11Not available in this settingRVU24B
2024-03-09$19.11Not available in this settingRVU24AR
2024-01-01$18.79Not available in this settingRVU24A
2023-10-01$18.84Not available in this settingRVU23D
2023-07-01$18.84Not available in this settingRVU23C
2023-04-01$18.84Not available in this settingRVU23B
2023-01-01$18.84Not available in this settingRVU23A
2022-10-01$19.17Not available in this settingRVU22D
2022-07-01$19.17Not available in this settingRVU22C
2022-04-01$19.17Not available in this settingRVU22B
2022-01-01$19.17Not available in this settingRVU22A
2021-10-01$18.94Not available in this settingRVU21D
2021-07-01$18.94Not available in this settingRVU21C
2021-04-01$18.94Not available in this settingRVU21B
2021-01-01$18.94Not available in this settingRVU21A
2020-10-01$18.80Not available in this settingRVU20D
2020-07-01$18.80Not available in this settingRVU20C
2020-04-01$18.80Not available in this settingRVU20B
2020-01-01$18.80Not available in this settingRVU20A
2019-10-01$19.18Not available in this settingRVU19D
2019-07-01$19.18Not available in this settingRVU19C
2019-04-01$19.18Not available in this settingRVU19B
2019-01-01$19.18Not available in this settingRVU19A
2018-10-01$19.56Not available in this settingRVU18D
2018-07-01$19.56Not available in this settingRVU18C
2018-04-01$19.56Not available in this settingRVU18B
2018-01-01$19.56Not available in this settingRVU18AR1
2017-10-01$19.41Not available in this settingRVU17D
2017-07-01$19.41Not available in this settingRVU17C
2017-04-01$19.41Not available in this settingRVU17B
2017-01-01$19.41Not available in this settingRVU17A
2016-10-01$19.28Not available in this settingRVU16D
2016-07-01$19.28Not available in this settingRVU16C
2016-04-01$19.28Not available in this settingRVU16B
2016-01-01$19.28Not available in this settingRVU16A
2015-10-01$19.35Not available in this settingRVU15D
2015-07-01$19.35Not available in this settingRVU15C
2015-04-01$19.25Not available in this settingRVU15B
2015-01-01$19.25Not available in this settingRVU15A
2014-10-01$18.55Not available in this settingRVU14D
2014-07-01$18.55Not available in this settingRVU14C
2014-04-01$18.55Not available in this settingRVU14B
2014-01-01$18.55Not available in this settingRVU14A
2013-10-01$19.83Not available in this settingRVU13D
2013-07-01$19.83Not available in this settingRVU13C
2013-04-01$19.83Not available in this settingRVU13B
2013-01-01$19.83Not available in this settingRVU13AR

Price 94664 for an earlier date of service

Where the Alaska rate applies

Alaska is a Medicare payment area, not a city. Our Census mapping connects it to 355 cities and communities in Alaska. Some span more than one payment area; confirm with the service ZIP.

  • Adak
  • Akhiok
  • Akiachak
  • Akiak
  • Akutan
  • Alakanuk
  • Alatna
  • Alcan Border

Browse all communities in Alaska

94664 billing questions

When should 94664 be reported instead of 94640?

Use 94664 for demonstrating or evaluating the patient's technique with an aerosol delivery device. Code 94640 describes an inhalation treatment; a treatment alone does not establish that device instruction or evaluation occurred.

Can 94664 and 94640 be reported on the same date?

They may describe separate services when the patient receives an inhalation treatment and also receives distinct device-use instruction or technique evaluation. Document each service separately.

What documentation supports 94664?

Record the device involved, what instruction or technique assessment was performed, and any relevant technique problems or corrections.

Can clinical staff perform this service?

Yes, but CMS treats it as an incident-to service, so it may be billed only when performed under physician supervision.

Does administering medication by inhaler or nebulizer qualify by itself?

No. The service is demonstration or evaluation of the patient's device use; medication administration alone is not the service described by 94664.

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 94664PPRRVU2026_Oct_nonQPP.csv, line 12,417 (RVU26D)
Geographic factors for AlaskaGPCI2026.csv, line 5 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 94664 pays in Alaska?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 94664 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist