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CPT code 94776: Apnea monitor analysis, pediatric home monitoring2026 Medicare rate & RVUs

Reports the technical download and analysis of pediatric home apnea monitor data, separate from review, interpretation, and reporting.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · 94776

Apnea monitor analysis, pediatric home monitoring

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 94776 →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 94776 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 94776 covers

This service covers retrieval and technical analysis of data from a pediatric home apnea monitor. It is distinct from attending the monitoring session or recording monitor events. The technical work produces data for separate review, interpretation, and reporting. It is used in pediatric home monitoring when recorded data are downloaded for analysis.

Medicare assigns physician fee schedule status C, or carrier priced: the Medicare Administrative Contractor sets payment for each claim and sets the global period. This is a technical-component-only service. Code 94777 represents the separate review, interpretation, and reporting service. Report 94776 for the technical download and analysis, not for interpretation and reporting.

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 94776 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

94776 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

94776 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
94776 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 94776 rate is calculated

Each of 94776’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 · 94776

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 94776

The CMS indicators that decide how 94776 is paid alongside other services.

CMS payment indicators · 94776

Apnea monitor analysis, pediatric home monitoring

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.

94776 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 94776

    Apnea monitor analysis, pediatric home monitoring0 wRVU

    Not priced

  • 94774

    Pediatric apnea monitoring, 24-hour event recording0 wRVU

    Not priced

  • 94775

    Pediatric apnea attendance, attendance only0 wRVU

    Not priced

  • 94777

    Apnea monitor review, interpretation and report0 wRVU

    Not priced

How to choose

94774Pediatric apnea monitoring24-hour event recording
Choose 94774 for pediatric home apnea event recording. 94776 covers downloading and technically analyzing monitoring information.
94775Pediatric apnea attendanceAttendance only
94775 is for attendance only during pediatric home apnea monitoring; 94776 describes the technical download and analysis.
94777Apnea monitor reviewInterpretation and report
94777 represents review, interpretation, and reporting. 94776 is the technical download and analysis service.

Codes related to 94776

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

Codes related to 94776
CodeHow it relatesNational office range
Same family
94774Pediatric apnea monitoring, 24-hour event recordingPediatric home apnea event recording, rather than downloading and analyzing recorded information.No office rate
94775Pediatric apnea attendance, attendance onlyPediatric home apnea monitoring attendance-only service.No office rate
Often billed with
94777Apnea monitor review, interpretation and reportRepresents the separate review, interpretation, and reporting service.No office rate

94776 billing questions

How does 94776 differ from 94774?

94776 is for downloading and technically analyzing existing home monitor data. 94774 represents pediatric home apnea event recording.

Does 94776 include interpretation and a report?

No. 94776 is technical-component-only; a separate code represents interpretation and reporting.

When is 94775 a better fit?

Use 94775 for pediatric home apnea monitoring attendance only. 94776 describes download and technical analysis of monitor information.

How does Medicare price 94776?

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

Who sets the global period?

The Medicare contractor sets the global period for 94776.

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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