CPT code 94761: Pulse oximetry, multiple determinations2026 Medicare rate & RVUs in Missouri
Report multiple noninvasive oxygen-saturation readings, such as measurements at rest and during exercise, when they are obtained as a distinct service.
Medicare pays $3.78–$4.15 for 94761 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
Your location
On this page 9 sections
What 94761 covers
94761 represents multiple noninvasive oxygen-saturation readings obtained with an ear or finger pulse-oximeter sensor, rather than one isolated reading or continuous overnight monitoring. A common use is documenting saturation at rest and during exertion when evaluating exertional desaturation. The service is typically performed in a physician office or outpatient setting by clinical staff under a clinician’s direction, with the readings informing cardiopulmonary assessment.
Report the multiple-determination service as a whole, not one unit for each displayed reading. Documentation should identify the readings and circumstances, such as rest versus exercise, and note oxygen being delivered when relevant. CMS classifies 94761 as technical-component-only; interpretation is covered under a separate code. CMS also places it in an injection or minor-service payment category that is paid only when no other physician service is billed for the same date, so same-day physician-service billing affects payment.
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.
Where 94761 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$3.78 to $4.15
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $4.09 | Unavailable |
| Metropolitan St. Louis, MO | $4.15 | Unavailable |
| Rest of Missouri | $3.78 | Unavailable |
How the 94761 rate is calculated
Each of 94761’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 · 94761
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.12
0.12 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.1300
Conversion factor
$33.4009
Medicare rate
$4.34
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 94761
The CMS indicators that decide how 94761 is paid alongside other services.
CMS payment indicators · 94761
Pulse oximetry, multiple determinations
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 3 | Technical component only. |
94761 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 94760Pulse oximetrySingle determination
- 94760 is for one oxygen-saturation determination. Choose 94761 when multiple determinations are obtained, such as at rest and during exertion.
- 94762Overnight oximetryContinuous overnight monitoring
- 94762 represents continuous overnight monitoring. 94761 is for multiple determinations rather than an overnight recording.
- 94618Pulmonary stress testSimple exercise assessment
- 94618 describes a pulmonary stress test that includes oxygen-saturation measurement. Use 94761 for multiple oximetry determinations when a broader pulmonary stress test is not the service performed.
94761 billing questions
When should 94761 be selected instead of 94760?
Use 94761 for multiple oxygen-saturation determinations, such as readings at rest and during exertion. Use 94760 for a single determination.
How does 94761 differ from continuous overnight oximetry?
94761 describes multiple determinations, often obtained under different conditions during an encounter. Continuous overnight monitoring is represented by 94762.
Can each oximeter reading be billed as a separate unit?
No. Report the multiple-determination service as a whole; do not count each displayed reading as a separate unit.
Does 94761 include the interpretation?
No. CMS classifies 94761 as technical-component-only, with interpretation covered under a separate code.
What same-day payment restriction applies?
CMS places 94761 in an injection or minor-service category paid only when no other physician service is billed for the same date.
What documentation supports 94761?
Record the saturation determinations and the circumstances in which they were obtained, such as at rest and during exercise. Include oxygen delivery details when relevant.
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
Fee sheets · Coming soon
Put 94761 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist