CPT code 94761: Pulse oximetry, multiple determinations2026 Medicare rate & RVUs in Queens, NY

Report multiple noninvasive oxygen-saturation readings, such as measurements at rest and during exercise, when they are obtained as a distinct service.

CMS RVU26DEffective Oct 1, 2026One payment locality3.4K Medicare services in 2024

In Queens, NY, Medicare pays $5.22 for 94761 in the office.

$5.22Office (non-facility)
Not available in this settingHospital or facility
+20.3%vs the national office rate ($4.34)

Check a contract rate as a % of Medicare · 94761 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 94761 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Queens, NY
  2. What 94761 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 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.

How Queens, NY compares for 94761

Across 109 of 109 payment localities, the office rate for 94761 runs from $3.61 in Arkansas to $5.96 in San Benito County, CA. Queens, NY pays $5.22. The RVUs are the same everywhere; the geographic indexes change the dollars.

94761 in Queens, NY vs other payment areas
  1. Queens, NY · this page$5.22
  2. Manhattan, NY · New York$5.19−$0.03
  3. NYC suburbs and Long Island, NY · New York$5.39+$0.17
  4. Rest of New York · New York$4.04−$1.18
  5. Los Angeles, CA · California$4.96−$0.26
  6. Washington, DC area · District of Columbia$5.09−$0.13

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

Every other payment area

94761 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$5.02—
Chicago, ILIllinois$4.79—
AlaskaAlaska$4.45—
AlabamaAlabama$3.70—
ArkansasArkansas$3.61—
ArizonaArizona$4.17—
Bakersfield, CACalifornia$4.60—
Chico, CACalifornia$4.57—

94761 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.

$3.61

$5.27

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

View every state and territory as a table
94761 office rate range by state
State / territoryOffice rate rangeLocalities
AK$4.451
AL$3.701
AR$3.611
AZ$4.171
CA$4.57–$5.9629
CO$4.531
CT$4.721
DC$5.091
DE$4.261
FL$4.33–$5.023
GA$3.97–$4.472
GU$4.751
HI$4.751
IA$3.801
ID$3.851
IL$4.18–$4.794
IN$3.881
KS$3.791
KY$3.871
LA$3.87–$4.152
MA$4.49–$5.082
MD$4.36–$5.093
ME$3.90–$4.182
MI$4.04–$4.432
MN$4.221
MO$3.78–$4.153
MS$3.701
MT$4.341
NC$3.951
ND$4.141
NE$3.831
NH$4.461
NJ$4.74–$5.012
NM$4.081
NV$4.291
NY$4.04–$5.395
OH$4.001
OK$3.841
OR$4.23–$4.702
PA$4.00–$4.572
PR$4.381
RI$4.441
SC$3.991
SD$4.121
TN$3.821
TX$3.96–$4.548
UT$4.071
VA$4.18–$5.092
VI$4.381
VT$4.141
WA$4.47–$5.192
WI$3.941
WV$3.961
WY$4.261

See 94761 in every payment locality

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

Office or facility?

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.

The exact Queens, NY inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,443

Code
94761
Physician work
0.00
Practice expense
0.12
Malpractice
0.01

GPCI2026.csv

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 94761 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0640.0000
Practice expense0.12× 1.1820.1418
Malpractice0.01× 1.4420.0144
Total RVUs0.1563
Conversion factor× 33.4009

Office rate, Queens, NY$5.22

Office: (0 × 1.064 + 0.12 × 1.182 + 0.01 × 1.442) × $33.4009 = $5.22

Open 94761 in the RVU calculator

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

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/technical3Technical component only.

How 94761 has changed in Queens, NY

94761 · Office / nonfacility

$5.22

Effective 2026-10-01

The base rate is $0.50 higher than on 2025-10-01, moving from $4.72 to $5.22 (10.6%).

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

    $4.72changed to$5.22

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.11 changed to 0.12
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $4.86changed to$4.72

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $4.78changed to$4.86

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $4.81changed to$4.78

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.10 changed to 0.11
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462
  5. January 1, 2023

    RVU23A

    $4.75changed to$4.81

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.09 changed to 0.10
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $5.21changed to$4.75

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.10 changed to 0.09

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $5.24changed to$5.21

    • Conversion factor 36.0896 changed to 34.8931
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $5.52changed to$5.24

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.11 changed to 0.10
    • Work GPCI 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $5.95changed to$5.52

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.12 changed to 0.11

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $5.94changed to$5.95

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $6.36changed to$5.94

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.13 changed to 0.12
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $6.38changed to$6.36

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $6.35changed to$6.38

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $6.23changed to$6.35

    • Conversion factor 35.8228 changed to 35.7547
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $6.20changed to$6.23

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.14 changed to 0.13
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $6.20

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$5.22Not available in this settingRVU26D
2026-07-01$5.22Not available in this settingRVU26C
2026-04-01$5.22Not available in this settingRVU26B
2026-01-01$5.22Not available in this settingRVU26A
2025-10-01$4.72Not available in this settingRVU25D
2025-07-01$4.72Not available in this settingRVU25C
2025-04-01$4.72Not available in this settingRVU25B
2025-01-01$4.72Not available in this settingRVU25A
2024-10-01$4.86Not available in this settingRVU24D
2024-07-01$4.86Not available in this settingRVU24C
2024-04-01$4.86Not available in this settingRVU24B
2024-03-09$4.86Not available in this settingRVU24AR
2024-01-01$4.78Not available in this settingRVU24A
2023-10-01$4.81Not available in this settingRVU23D
2023-07-01$4.81Not available in this settingRVU23C
2023-04-01$4.81Not available in this settingRVU23B
2023-01-01$4.81Not available in this settingRVU23A
2022-10-01$4.75Not available in this settingRVU22D
2022-07-01$4.75Not available in this settingRVU22C
2022-04-01$4.75Not available in this settingRVU22B
2022-01-01$4.75Not available in this settingRVU22A
2021-10-01$5.21Not available in this settingRVU21D
2021-07-01$5.21Not available in this settingRVU21C
2021-04-01$5.21Not available in this settingRVU21B
2021-01-01$5.21Not available in this settingRVU21A
2020-10-01$5.24Not available in this settingRVU20D
2020-07-01$5.24Not available in this settingRVU20C
2020-04-01$5.24Not available in this settingRVU20B
2020-01-01$5.24Not available in this settingRVU20A
2019-10-01$5.52Not available in this settingRVU19D
2019-07-01$5.52Not available in this settingRVU19C
2019-04-01$5.52Not available in this settingRVU19B
2019-01-01$5.52Not available in this settingRVU19A
2018-10-01$5.95Not available in this settingRVU18D
2018-07-01$5.95Not available in this settingRVU18C
2018-04-01$5.95Not available in this settingRVU18B
2018-01-01$5.95Not available in this settingRVU18AR1
2017-10-01$5.94Not available in this settingRVU17D
2017-07-01$5.94Not available in this settingRVU17C
2017-04-01$5.94Not available in this settingRVU17B
2017-01-01$5.94Not available in this settingRVU17A
2016-10-01$6.36Not available in this settingRVU16D
2016-07-01$6.36Not available in this settingRVU16C
2016-04-01$6.36Not available in this settingRVU16B
2016-01-01$6.36Not available in this settingRVU16A
2015-10-01$6.38Not available in this settingRVU15D
2015-07-01$6.38Not available in this settingRVU15C
2015-04-01$6.35Not available in this settingRVU15B
2015-01-01$6.35Not available in this settingRVU15A
2014-10-01$6.23Not available in this settingRVU14D
2014-07-01$6.23Not available in this settingRVU14C
2014-04-01$6.23Not available in this settingRVU14B
2014-01-01$6.23Not available in this settingRVU14A
2013-10-01$6.20Not available in this settingRVU13D
2013-07-01$6.20Not available in this settingRVU13C
2013-04-01$6.20Not available in this settingRVU13B
2013-01-01$6.20Not available in this settingRVU13AR

Price 94761 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

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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
RVUs for 94761PPRRVU2026_Oct_nonQPP.csv, line 12,443 (RVU26D)
Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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