CPT code 94777: Apnea monitor review, interpretation and report2026 Medicare rate & RVUs in Florida
Professional review and interpretation of pediatric home apnea-monitor data, reported with a report rather than for event recording or technical processing.
CMS doesn’t publish an office rate for 94777 in Florida.
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 94777 covers
Code 94777 identifies the professional review of data from pediatric home apnea monitoring, interpretation of the findings, and a report. It is distinct from processing the recorded data: 94776 identifies the technical portion. The code is for interpretation and reporting of pediatric home apnea-monitor data, rather than event recording under 94774 or attendance-only monitoring under 94775. The service concerns a child’s home apnea monitoring; the reported work is the clinician’s interpretation and report.
For Medicare, 94777 has physician fee schedule status C: CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim. It is a professional-component-only code, with a separate code for the technical portion. The Medicare contractor sets the global period. Report 94777 for the professional interpretation and report, not for the technical data download and analysis represented by 94776.
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 94777 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | Unavailable |
| Miami, FL | Unavailable | Unavailable |
| Rest of Florida | Unavailable | Unavailable |
How the 94777 rate is calculated
Each of 94777’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 · 94777
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 94777
The CMS indicators that decide how 94777 is paid alongside other services.
CMS payment indicators · 94777
Apnea monitor review, interpretation and report
| 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 | 2 | Professional component only. |
94777 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 94776Apnea monitor analysisPediatric home monitoring
- Use 94777 for professional interpretation and reporting; 94776 identifies the technical portion.
- 94774Pediatric apnea monitoring24-hour event recording
- 94774 identifies pediatric home apnea-monitor event recording. 94777 is for interpreting and reporting recorded data.
- 94775Pediatric apnea attendanceAttendance only
- 94775 identifies pediatric home apnea-monitor attendance only. 94777 is for professional interpretation and reporting.
94777 billing questions
How does 94777 differ from 94776?
94777 represents the professional interpretation and report. 94776 identifies the technical portion.
Is 94777 the event-recording service?
No. 94774 identifies pediatric home apnea-monitor event recording; 94777 is for interpreting and reporting recorded data.
How does 94777 differ from 94775?
94775 identifies pediatric home apnea-monitor attendance only. 94777 is for professional interpretation and reporting.
Does Medicare publish a national payment for 94777?
No. Its physician fee schedule status is C, so the Medicare Administrative Contractor sets payment for each claim.
Who sets the Medicare global period?
The Medicare contractor sets the global period for this code.
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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