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CPT code 94775: Pediatric apnea attendance, attendance only2026 Medicare rate & RVUs

Reports attendance associated with pediatric home apnea monitoring, distinct from recording events, analyzing monitor data, or interpreting and reporting results.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · 94775

Pediatric apnea attendance, attendance only

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
YYY

National rate · 2026

—

Not priced in the facility setting.

See every locality for 94775 →Billed by an NP, PA or therapist? →

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

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 94775 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 94775 covers

This code identifies attendance during a child’s home apnea monitoring service. It is distinct from event recording (94774), data download and analysis (94776), and review, interpretation, and reporting (94777). It identifies attendance as a distinct service within pediatric home apnea monitoring. Attendance is the service represented by 94775; it is not the event-recording, data-analysis, or interpretive work.

Medicare assigns 94775 physician fee schedule status C, or carrier priced: CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim. The contractor also determines the global period. The code represents the technical component only, with a separate code covering interpretation. Report 94775 for attendance, keeping event recording, monitor-data analysis, and interpretation/reporting distinct.

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 94775 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

94775 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

94775 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

View every state and territory as a table
94775 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 94775 rate is calculated

Each of 94775’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 · 94775

RVUs × geographic indexes × conversion factor

Office or facility?

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 94775

The CMS indicators that decide how 94775 is paid alongside other services.

CMS payment indicators · 94775

Pediatric apnea attendance, attendance only

RuleCMS valueWhat it means
Global periodYYYThe Medicare contractor sets the global period.
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.

94775 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 94775

    Pediatric apnea attendance, attendance only0 wRVU

    Not priced

  • 94774

    Pediatric apnea monitoring, 24-hour event recording0 wRVU

    Not priced

  • 94776

    Apnea monitor analysis, pediatric home monitoring0 wRVU

    Not priced

  • 94777

    Apnea monitor review, interpretation and report0 wRVU

    Not priced

How to choose

94774Pediatric apnea monitoring24-hour event recording
Choose 94775 for attendance only; 94774 describes event recording during pediatric home apnea monitoring.
94776Apnea monitor analysisPediatric home monitoring
94776 covers downloading and analyzing recorded monitor data, rather than attendance.
94777Apnea monitor reviewInterpretation and report
94777 describes review, interpretation, and reporting. 94775 is the attendance-only technical service.

Codes related to 94775

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

Codes related to 94775
CodeHow it relatesNational office range
Same family
94774Pediatric apnea monitoring, 24-hour event recordingPediatric home apnea monitoring with event recording.No office rate
94776Apnea monitor analysis, pediatric home monitoringPediatric home apnea monitor data download and analysis.No office rate
94777Apnea monitor review, interpretation and reportPediatric home apnea monitor review, interpretation, and report.No office rate

94775 billing questions

How does 94775 differ from 94774?

94775 is for attendance only. 94774 represents pediatric home apnea monitoring with event recording.

Does 94775 include interpretation of the monitor results?

No. It is a technical-component-only code, and a separate code covers interpretation. Code 94777 describes review, interpretation, and reporting.

When should 94776 be reported instead?

94776 describes downloading and analyzing pediatric home apnea monitor data. 94775 identifies attendance only.

How does Medicare price 94775?

Its physician fee schedule status is C, or carrier priced. The Medicare Administrative Contractor sets payment for each claim.

Who determines the global period?

The Medicare contractor determines the global period for 94775.

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

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