CPT code 94772: Respiratory pattern, 24-hour recording2026 Medicare rate & RVUs

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

What 94772 covers

Code 94772 identifies a circadian respiratory-pattern recording over 24 hours. The recorded information is interpreted as the professional portion of the diagnostic test; equipment and staff make up its technical portion. The code is distinct from pulse oximetry, which measures oxygen saturation, and from pediatric home apnea-monitor services that cover event recording or monitor data handling. The global service combines the professional and technical portions and is reported without a component modifier.

Medicare assigns physician fee schedule status C: CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim. Modifier 26 identifies interpretation and modifier TC identifies the technical portion; CMS separately prices both modifier-defined portions. Without either component modifier, the claim represents the global 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.

Where 94772 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

94772 rates by state

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

How the 94772 rate is calculated

Each of 94772’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 94772

The CMS indicators that decide how 94772 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

94772 compared with similar codes

How to choose

94774Pediatric apnea monitoring24-hour event recording

94772 represents a 24-hour circadian respiratory-pattern recording. Code 94774 describes pediatric home apnea-monitor event recording.

94762Overnight oximetryContinuous overnight monitoring

Code 94762 reports continuous noninvasive oxygen-saturation monitoring. Code 94772 records circadian respiratory patterns over 24 hours.

94776Apnea monitor analysisPediatric home monitoring

Code 94776 covers downloading and analyzing pediatric home apnea-monitor data; 94772 represents a 24-hour circadian respiratory-pattern recording.

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