CPT code 94772: Respiratory pattern, 24-hour recording2026 Medicare rate & RVUs in Texas
Reports a 24-hour recording of circadian respiratory patterns for professional interpretation, distinct from oxygen-saturation monitoring and pediatric home apnea-monitor services.
CMS doesn’t publish an office rate for 94772 in Texas.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 8 sections
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 in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | Unavailable |
| Beaumont, TX | Unavailable | Unavailable |
| Brazoria, TX | Unavailable | Unavailable |
| Dallas, TX | Unavailable | Unavailable |
| Fort Worth, TX | Unavailable | Unavailable |
| Galveston, TX | Unavailable | Unavailable |
| Houston, TX | Unavailable | Unavailable |
| Rest of Texas | Unavailable | Unavailable |
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.
How the rate is built · 94772
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
0.0000
Conversion factor
$33.4009
Medicare rate
$0.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 94772
The CMS indicators that decide how 94772 is paid alongside other services.
CMS payment indicators · 94772
Respiratory pattern, 24-hour recording
| 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 | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
94772 without 26 · national facility
$0.00
Respiratory pattern, 24-hour recording
94772-26 · Professional component
$0.00
Pays only the interpretation and report.
94772 compared with similar codes
Compare codes · National
4 codes, side by side
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.
94772 billing questions
What period does 94772 cover?
It represents a circadian respiratory-pattern recording over 24 hours.
How does 94772 differ from pediatric home apnea-monitoring codes?
94772 represents a 24-hour circadian respiratory-pattern recording. Pediatric home apnea-monitoring codes describe services such as event recording or monitor data handling.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation and modifier TC for the technical portion involving equipment and staff. Report the global service without a component modifier.
How does 94772 differ from continuous pulse oximetry?
94772 records circadian respiratory patterns; 94762 reports continuous noninvasive oxygen-saturation monitoring.
How does Medicare price 94772?
Its physician fee schedule status is C: CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim.
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
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