Billing code 94780: Infant transport testMedicare rate & RVUs
Reports a monitored car-seat or car-bed tolerance assessment for an infant through 12 months, typically before discharge when transport-position safety is a concern.
Medicare pays $55.11 for 94780 nationally in the office and $20.37 in a hospital or facility. Local office rates run $49.26–$73.24.
Medicare rate · 94780
Infant transport test
Swap in your local Medicare rate.
- Work RVUs
- 0.48
- Total RVUs
- 1.65
- Global days
- XXX
National rate · 2026
$55.11
Office setting, before claim adjustments.
See every locality for 94780 → · 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.
On this page 10 sections
What 94780 covers
Code 94780 captures the initial 60 minutes of a monitored car-seat or car-bed tolerance assessment in an infant through 12 months. The infant is observed in the transport position planned for discharge, with monitoring for events such as oxygen desaturation, bradycardia, or apnea. The assessment is commonly performed in a newborn nursery or NICU when prematurity or the infant’s clinical history raises concern about tolerance of that position. Nursing or respiratory therapy staff may conduct the monitoring under the responsible clinician’s direction and review process.
Use this code for the position-specific assessment, rather than a brief oxygen saturation check or routine observation. Document the infant’s age, car seat or car bed used, position, start and stop times, monitoring results, any events or interventions, and clinician review. For testing that continues beyond the initial 60 minutes, code 94781 identifies each additional 30 minutes; the record should support the additional testing time and its findings.
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 94780 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$49.26 to $73.24
109 of 109 payment localities
94780 rates by state
Office rate range in each state. Select a state to see its payment localities.
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Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$49.26
$65.91
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $65.15 | 1 |
| AL | $49.92 | 1 |
| AR | $49.26 | 1 |
| AZ | $53.79 | 1 |
| CA | $58.57–$73.24 | 29 |
| CO | $57.52 | 1 |
| CT | $58.57 | 1 |
| DC | $62.87 | 1 |
| DE | $54.63 | 1 |
| FL | $53.94–$58.20 | 3 |
| GA | $51.19–$55.97 | 2 |
| GU | $59.91 | 1 |
| HI | $59.91 | 1 |
| IA | $51.27 | 1 |
| ID | $51.54 | 1 |
| IL | $52.36–$57.03 | 4 |
| IN | $51.82 | 1 |
| KS | $50.96 | 1 |
| KY | $50.80 | 1 |
| LA | $50.69–$53.00 | 2 |
| MA | $57.18–$63.05 | 2 |
| MD | $55.65–$62.87 | 3 |
| ME | $51.69–$54.40 | 2 |
| MI | $51.93–$54.47 | 2 |
| MN | $55.51 | 1 |
| MO | $49.83–$53.29 | 3 |
| MS | $49.56 | 1 |
| MT | $55.11 | 1 |
| NC | $52.20 | 1 |
| ND | $54.52 | 1 |
| NE | $51.56 | 1 |
| NH | $56.55 | 1 |
| NJ | $59.35–$62.28 | 2 |
| NM | $52.15 | 1 |
| NV | $54.98 | 1 |
| NY | $52.91–$64.19 | 5 |
| OH | $51.81 | 1 |
| OK | $50.81 | 1 |
| OR | $54.66–$59.34 | 2 |
| PA | $51.93–$57.15 | 2 |
| PR | $55.52 | 1 |
| RI | $56.56 | 1 |
| SC | $52.07 | 1 |
| SD | $54.45 | 1 |
| TN | $51.18 | 1 |
| TX | $51.61–$57.24 | 8 |
| UT | $52.72 | 1 |
| VA | $54.17–$62.87 | 2 |
| VI | $55.52 | 1 |
| VT | $54.24 | 1 |
| WA | $57.10–$64.37 | 2 |
| WI | $52.82 | 1 |
| WV | $50.56 | 1 |
| WY | $54.85 | 1 |
How the 94780 rate is calculated
Each of 94780’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 · 94780
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.48Practice expense 1.14Malpractice 0.03
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 94780
94780 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 94780
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$55.11
The facility rate would be $20.37 (+$34.74). In a facility, the facility bills its own costs separately.
94780 compared with similar codes
Compare codes
94780 vs 94781 vs 94774 vs 94760: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 94781Infant car seat test
- 94780 covers the initial 60 minutes of infant car-seat or car-bed testing; 94781 captures additional 30-minute increments.
- 94774Ped home apnea mntr evnt rec
- 94774 concerns pediatric home apnea monitor event recording. It is not the position-specific car-seat or car-bed tolerance assessment reported with 94780.
- 94760N-invas ear/pls oximetry 1
- 94760 is for a single oxygen saturation measurement. Use 94780 for a monitored infant transport-position assessment lasting the specified initial hour.
94780 billing questions
What code covers testing beyond the first 60 minutes?
Code 94780 represents the initial 60 minutes. Code 94781 identifies each additional 30 minutes, supported by the documented testing duration.
How is 94780 different from pulse oximetry?
94780 is a monitored assessment of an infant’s tolerance of a car-seat or car-bed position. Codes 94760 and 94761 describe oxygen saturation measurements, not this position-specific test.
Can the test be performed in a car bed?
Yes. The service covers testing in a car seat or car bed; document which transport device and position were used.
What documentation supports reporting 94780?
Record the infant’s age, reason for testing, device and position, monitoring duration and results, any events or interventions, and the clinician’s review.
Is infant home apnea monitor setup the same service?
No. Home apnea monitor event recording and related monitor services are distinct from testing an infant’s tolerance of a car-seat or car-bed position.
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
Show the CMS file lines behind this rate
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