Use 94002 for the initial inpatient management day; 94003 represents a subsequent inpatient day.
On this page
CMS RVU26D · Effective 2026-10-01
94002 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$85.41
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Respiratory care
About 94002: Initial inpatient ventilator management
Reports physician management of ventilator support on the initial inpatient day, including clinical assessment and direction of assisted or controlled breathing.
This service covers a physician’s active management of a patient receiving ventilator support in an inpatient setting. It may involve assessing respiratory status, reviewing ventilator settings and response, and directing changes to support for conditions such as acute respiratory failure. Pulmonologists, intensivists, and other physicians managing the patient’s respiratory care may perform the service. The patient’s use of a ventilator alone is not the management work represented by this code.
Report 94002 for the initial day of inpatient ventilator management; use 94003 for a subsequent day of management. Documentation should identify the date and setting, the patient’s respiratory status, the management decisions made, and the response or rationale supporting those decisions. The CMS physician fee schedule lists this service for facility settings. The code is reported for the management service, rather than for each ventilator adjustment made during that day.
Where the value comes from
- Work RVU1.99 · 77%
- Practice expense (office) RVU0.40 · 16%
- Malpractice RVU0.18 · 7%
944
Medicare services in 2024 · #3013 by national volume
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.
94002 compared with similar codes
Office rates for Delaware, from the same CMS release.
94004 is for ventilator management per day in a nursing facility, rather than the initial inpatient day represented by 94002.
Home vent mgmt supervision
94005 concerns supervision of home ventilator management; 94002 is for active management on the initial inpatient day.
The same code, a different location
How does Delaware compare?
94002 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Alabama
Alabama · 94002
Office
Unavailable
Facility
$81.56
No comparable office rate is available.
Arkansas
Arkansas · 94002
Office
Unavailable
Facility
$81.04
No comparable office rate is available.
Arizona
Arizona · 94002
Office
Unavailable
Facility
$84.56
No comparable office rate is available.
Bakersfield
California · 94002
Office
Unavailable
Facility
$86.04
No comparable office rate is available.
Chico
California · 94002
Office
Unavailable
Facility
$85.46
No comparable office rate is available.
El Centro
California · 94002
Office
Unavailable
Facility
$85.49
No comparable office rate is available.
Fresno
California · 94002
Office
Unavailable
Facility
$85.46
No comparable office rate is available.
Hanford-Corcoran
California · 94002
Office
Unavailable
Facility
$85.46
No comparable office rate is available.
Madera
California · 94002
Office
Unavailable
Facility
$85.46
No comparable office rate is available.
Merced
California · 94002
Office
Unavailable
Facility
$85.46
No comparable office rate is available.
Modesto
California · 94002
Office
Unavailable
Facility
$85.46
No comparable office rate is available.
Napa
California · 94002
Office
Unavailable
Facility
$91.32
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 94002
Office
Unavailable
Facility
$87.87
No comparable office rate is available.
Redding
California · 94002
Office
Unavailable
Facility
$85.46
No comparable office rate is available.
Rest Of California
California · 94002
Office
Unavailable
Facility
$85.46
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 94002
Office
Unavailable
Facility
$87.44
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 94002
Office
Unavailable
Facility
$87.62
No comparable office rate is available.
Salinas
California · 94002
Office
Unavailable
Facility
$87.24
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 94002
Office
Unavailable
Facility
$87.70
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 94002
Office
Unavailable
Facility
$94.38
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 94002
Office
Unavailable
Facility
$94.18
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 94002
Office
Unavailable
Facility
$96.27
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 94002
Office
Unavailable
Facility
$95.43
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 94002
Office
Unavailable
Facility
$86.04
No comparable office rate is available.
Santa Cruz-Watsonville
California · 94002
Office
Unavailable
Facility
$87.32
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 94002
Office
Unavailable
Facility
$87.13
No comparable office rate is available.
Santa Rosa-Petaluma
California · 94002
Office
Unavailable
Facility
$88.09
No comparable office rate is available.
Stockton
California · 94002
Office
Unavailable
Facility
$85.46
No comparable office rate is available.
Vallejo
California · 94002
Office
Unavailable
Facility
$91.02
No comparable office rate is available.
Visalia
California · 94002
Office
Unavailable
Facility
$85.46
No comparable office rate is available.
Yuba City
California · 94002
Office
Unavailable
Facility
$85.46
No comparable office rate is available.
Colorado
Colorado · 94002
Office
Unavailable
Facility
$86.18
No comparable office rate is available.
Connecticut
Connecticut · 94002
Office
Unavailable
Facility
$89.46
No comparable office rate is available.
Fort Lauderdale
Florida · 94002
Office
Unavailable
Facility
$90.87
No comparable office rate is available.
Rest Of Florida
Florida · 94002
Office
Unavailable
Facility
$88.28
No comparable office rate is available.
Atlanta
Georgia · 94002
Office
Unavailable
Facility
$87.46
No comparable office rate is available.
Rest Of Georgia
Georgia · 94002
Office
Unavailable
Facility
$85.55
No comparable office rate is available.
Hawaii, Guam
Hawaii · 94002
Office
Unavailable
Facility
$85.14
No comparable office rate is available.
Iowa
Iowa · 94002
Office
Unavailable
Facility
$81.08
No comparable office rate is available.
Idaho
Idaho · 94002
Office
Unavailable
Facility
$81.60
No comparable office rate is available.
East St. Louis
Illinois · 94002
Office
Unavailable
Facility
$90.87
No comparable office rate is available.
Rest Of Illinois
Illinois · 94002
Office
Unavailable
Facility
$88.06
No comparable office rate is available.
Suburban Chicago
Illinois · 94002
Office
Unavailable
Facility
$91.31
No comparable office rate is available.
Indiana
Indiana · 94002
Office
Unavailable
Facility
$81.77
No comparable office rate is available.
Kansas
Kansas · 94002
Office
Unavailable
Facility
$81.58
No comparable office rate is available.
Kentucky
Kentucky · 94002
Office
Unavailable
Facility
$83.85
No comparable office rate is available.
New Orleans
Louisiana · 94002
Office
Unavailable
Facility
$85.87
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 94002
Office
Unavailable
Facility
$84.05
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 94002
Office
Unavailable
Facility
$90.50
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 94002
Office
Unavailable
Facility
$86.39
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 94002
Office
Unavailable
Facility
$89.30
No comparable office rate is available.
Rest Of Maryland
Maryland · 94002
Office
Unavailable
Facility
$86.17
No comparable office rate is available.
Rest Of Maine
Maine · 94002
Office
Unavailable
Facility
$82.50
No comparable office rate is available.
Southern Maine
Maine · 94002
Office
Unavailable
Facility
$83.50
No comparable office rate is available.
Detroit
Michigan · 94002
Office
Unavailable
Facility
$89.50
No comparable office rate is available.
Rest Of Michigan
Michigan · 94002
Office
Unavailable
Facility
$85.45
No comparable office rate is available.
Minnesota
Minnesota · 94002
Office
Unavailable
Facility
$82.00
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 94002
Office
Unavailable
Facility
$84.89
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 94002
Office
Unavailable
Facility
$85.21
No comparable office rate is available.
Rest Of Missouri
Missouri · 94002
Office
Unavailable
Facility
$83.84
No comparable office rate is available.
Mississippi
Mississippi · 94002
Office
Unavailable
Facility
$82.41
No comparable office rate is available.
Montana**
Montana · 94002
Office
Unavailable
Facility
$85.83
No comparable office rate is available.
North Carolina
North Carolina · 94002
Office
Unavailable
Facility
$82.77
No comparable office rate is available.
North Dakota**
North Dakota · 94002
Office
Unavailable
Facility
$82.27
No comparable office rate is available.
Nebraska
Nebraska · 94002
Office
Unavailable
Facility
$81.07
No comparable office rate is available.
New Hampshire
New Hampshire · 94002
Office
Unavailable
Facility
$85.64
No comparable office rate is available.
Northern Nj
New Jersey · 94002
Office
Unavailable
Facility
$92.57
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 94002
Office
Unavailable
Facility
$90.31
No comparable office rate is available.
New Mexico
New Mexico · 94002
Office
Unavailable
Facility
$85.94
No comparable office rate is available.
Nevada**
Nevada · 94002
Office
Unavailable
Facility
$84.85
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 94002
Office
Unavailable
Facility
$97.77
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 94002
Office
Unavailable
Facility
$91.36
No comparable office rate is available.
Queens
New York · 94002
Office
Unavailable
Facility
$95.18
No comparable office rate is available.
Rest Of New York
New York · 94002
Office
Unavailable
Facility
$83.39
No comparable office rate is available.
Ohio
Ohio · 94002
Office
Unavailable
Facility
$84.73
No comparable office rate is available.
Oklahoma
Oklahoma · 94002
Office
Unavailable
Facility
$83.07
No comparable office rate is available.
Portland
Oregon · 94002
Office
Unavailable
Facility
$86.85
No comparable office rate is available.
Rest Of Oregon
Oregon · 94002
Office
Unavailable
Facility
$84.00
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 94002
Office
Unavailable
Facility
$88.74
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 94002
Office
Unavailable
Facility
$84.41
No comparable office rate is available.
Puerto Rico
Puerto Rico · 94002
Office
Unavailable
Facility
$85.90
No comparable office rate is available.
Rhode Island
Rhode Island · 94002
Office
Unavailable
Facility
$86.89
No comparable office rate is available.
South Carolina
South Carolina · 94002
Office
Unavailable
Facility
$83.92
No comparable office rate is available.
South Dakota**
South Dakota · 94002
Office
Unavailable
Facility
$81.85
No comparable office rate is available.
Tennessee
Tennessee · 94002
Office
Unavailable
Facility
$81.84
No comparable office rate is available.
Austin
Texas · 94002
Office
Unavailable
Facility
$86.06
No comparable office rate is available.
Beaumont
Texas · 94002
Office
Unavailable
Facility
$84.21
No comparable office rate is available.
Brazoria
Texas · 94002
Office
Unavailable
Facility
$84.93
No comparable office rate is available.
Dallas
Texas · 94002
Office
Unavailable
Facility
$85.53
No comparable office rate is available.
Fort Worth
Texas · 94002
Office
Unavailable
Facility
$85.48
No comparable office rate is available.
Galveston
Texas · 94002
Office
Unavailable
Facility
$85.24
No comparable office rate is available.
Houston
Texas · 94002
Office
Unavailable
Facility
$88.54
No comparable office rate is available.
Rest Of Texas
Texas · 94002
Office
Unavailable
Facility
$84.58
No comparable office rate is available.
Utah
Utah · 94002
Office
Unavailable
Facility
$84.43
No comparable office rate is available.
Virginia
Virginia · 94002
Office
Unavailable
Facility
$83.85
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 94002
Office
Unavailable
Facility
$85.90
No comparable office rate is available.
Vermont
Vermont · 94002
Office
Unavailable
Facility
$82.74
No comparable office rate is available.
Rest Of Washington
Washington · 94002
Office
Unavailable
Facility
$85.98
No comparable office rate is available.
Seattle (King Cnty)
Washington · 94002
Office
Unavailable
Facility
$91.10
No comparable office rate is available.
Wisconsin
Wisconsin · 94002
Office
Unavailable
Facility
$81.12
No comparable office rate is available.
West Virginia
West Virginia · 94002
Office
Unavailable
Facility
$86.68
No comparable office rate is available.
Wyoming**
Wyoming · 94002
Office
Unavailable
Facility
$84.28
No comparable office rate is available.
See how rates vary across the country
94002 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 94002 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$93.95
$85.41 × 110% = $93.95
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 94002 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
12,360
- Code
- 94002
- Physician work
- 1.99
- Practice expense
- 0.40
- Malpractice
- 0.18
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.99 | × 1.005 | 1.9999 |
| Practice expense | 0.40 | × 0.988 | 0.3952 |
| Malpractice | 0.18 | × 0.899 | 0.1618 |
| Total RVUs | 2.5570 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$85.41
Open 94002 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.99 | 1.005 |
| Practice expense | 0.4 | 0.988 |
| Malpractice | 0.18 | 0.899 |
(1.99 × 1.005 + 0.4 × 0.988 + 0.18 × 0.899) × $33.4009 = $85.41
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
94002 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $85.41 | RVU26D |
| 2026-07-01 | Not available in this setting | $85.41 | RVU26C |
| 2026-04-01 | Not available in this setting | $85.41 | RVU26B |
| 2026-01-01 | Not available in this setting | $85.41 | RVU26A |
| 2025-10-01 | Not available in this setting | $88.15 | RVU25D |
| 2025-07-01 | Not available in this setting | $88.15 | RVU25C |
| 2025-04-01 | Not available in this setting | $88.15 | RVU25B |
| 2025-01-01 | Not available in this setting | $88.15 | RVU25A |
94002 billing questions
How does 94002 differ from 94003?
94002 is for the initial inpatient day of ventilator management. Report 94003 for a subsequent day.
Does ventilator use alone support 94002?
No. The record should show physician management, such as assessment of respiratory status and decisions about ventilator support, rather than only documenting that the patient remained on a ventilator.
What documentation supports the service?
Document the date, inpatient setting, respiratory assessment, management decisions, and the patient’s response or the clinical rationale for the plan.
Is the code reported for each ventilator adjustment?
No. It represents management for the initial day, not a separate unit for every setting change made that day.
Should 94002 be used for ventilator management in a nursing facility?
Use 94004 for ventilator management reported per day in a nursing facility. 94002 is for the initial inpatient day.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
