CPT code 94775: Pediatric apnea attendance, attendance only2026 Medicare rate & RVUs in Texas
Reports attendance associated with pediatric home apnea monitoring, distinct from recording events, analyzing monitor data, or interpreting and reporting results.
CMS doesn’t publish an office rate for 94775 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 9 sections
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 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 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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | YYY | The Medicare contractor sets the global period. |
| 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 | 3 | Technical component only. |
94775 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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