Billing code 94780: Infant transport testMedicare rate & RVUs in Guam
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 $59.91 for 94780 in the office in Guam (Hawaii, Guam). Which amount applies depends on the service address.
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 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.
94780 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | $59.91 | $20.41 |
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
Work0.48
0.48 RVUs× 1.000 GPCI
Practice expense1.14
1.14 RVUs× 1.000 GPCI
Malpractice0.03
0.03 RVUs× 1.000 GPCI
Adjusted RVUs
1.6500
Conversion factor
$33.4009
Medicare rate
$55.11
Every GPCI starts 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).
POS 11 · non-facility rate · national
$55.11
- Non-facility (office)
- $55.11
- Facility
- $20.37
Higher because the practice carries its own overhead.
94780 compared with similar codes
Compare codes · National
4 codes, side by side
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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