CPT code 94776: Apnea monitor analysis, pediatric home monitoring2026 Medicare rate & RVUs in Texas
Reports the technical download and analysis of pediatric home apnea monitor data, separate from review, interpretation, and reporting.
CMS doesn’t publish an office rate for 94776 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 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 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 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
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
| 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. |
94776 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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