Billing code 94002: Ventilator managementMedicare rate & RVUs in Georgia
Reports physician management of ventilator support on the initial inpatient day, including clinical assessment and direction of assisted or controlled breathing.
CMS doesn’t publish an office rate for 94002 in Georgia.
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 9 sections
What 94002 covers
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.
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 94002 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta | Unavailable | $87.46 |
| Rest Of Georgia | Unavailable | $85.55 |
How the 94002 rate is calculated
Each of 94002’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 · 94002
RVUs × geographic indexes × conversion factor
Work1.99
1.99 RVUs× 1.000 GPCI
Practice expense0.40
0.40 RVUs× 1.000 GPCI
Malpractice0.18
0.18 RVUs× 1.000 GPCI
Adjusted RVUs
2.5700
Conversion factor
$33.4009
Medicare rate
$85.84
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 94002
94002 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 · 94002
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
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94002 isn’t priced in this setting.
94002 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 94003Ventilator management
- Use 94002 for the initial inpatient management day; 94003 represents a subsequent inpatient day.
- 94004Ventilation management
- 94004 is for ventilator management per day in a nursing facility, rather than the initial inpatient day represented by 94002.
- 94005Home vent mgmt supervision
- 94005 concerns supervision of home ventilator management; 94002 is for active management on the initial inpatient day.
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 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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