CPT code 94774: Pediatric apnea monitoring, 24-hour event recording2026 Medicare rate & RVUs in California

CMS doesn’t publish an office rate for 94774 in California.

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

What 94774 covers

This service records a child’s respiratory rate and pattern, along with heart rate, during a 24-hour period using a home apnea monitor. It is part of pediatric home apnea monitoring, generally initiated by a clinician who needs a record of respiratory events outside the clinic. Attendance, data download, and physician review are separate services in the same code series.

For Medicare, status C means CMS publishes no national payment and the Medicare Administrative Contractor sets payment for each claim. The Medicare contractor also sets the global period. Medicare identifies 94774 as a global-test-only code, with separate codes describing the professional and technical components. The code represents a 24-hour recording period.

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 94774 pays more and less in California

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

29 of 29 payment localities

How the 94774 rate is calculated

Each of 94774’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 94774

The CMS indicators that decide how 94774 is paid alongside other services.

94774 compared with similar codes

How to choose

94775Pediatric apnea attendanceAttendance only

Use 94774 for the 24-hour event recording. Use 94775 for attendance-only monitoring for 30 minutes.

94776Apnea monitor analysisPediatric home monitoring

94774 reports the event-recording service; 94776 reports downloading and analyzing monitor information, with interpretation and a report.

94777Apnea monitor reviewInterpretation and report

94777 is the physician review, interpretation, and report service. It is not the 24-hour recording service reported with 94774.

Codes related to 94774

Related codes aren’t interchangeable: bill the code that matches the service performed.

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