No office rate
Use 94002 for the initial inpatient management day; 94003 represents a subsequent inpatient day.
On this page
CMS RVU26D · Effective 2026-10-01
94002 Ventilator management Medicare reimbursement rates in Idaho
Reports physician management of ventilator support on the initial inpatient day, including clinical assessment and direction of assisted or controlled breathing. Compare 94002 office and facility rates across CMS payment localities in Idaho.
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.
What does Medicare pay for 94002 in Idaho?
Idaho has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$81.60
1 of 1 localities have a supported rate.
Payment area: Idaho
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
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 Idaho, from the same CMS release.
No office rate
94004 is for ventilator management per day in a nursing facility, rather than the initial inpatient day represented by 94002.
94005
No office rateHome vent mgmt supervision
94005 concerns supervision of home ventilator management; 94002 is for active management on the initial inpatient day.
Compare 94002 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Idaho →
Office / nonfacility
Unavailable
Facility
$81.60
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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 Idaho.
PPRRVU2026_Oct_nonQPP.csv
12,360
- Code
- 94002
- Physician work
- 1.99
- Practice expense
- 0.40
- Malpractice
- 0.18
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.99 | × 1.000 | 1.9900 |
| Practice expense | 0.40 | × 0.920 | 0.3680 |
| Malpractice | 0.18 | × 0.473 | 0.0851 |
| Total RVUs | 2.4431 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$81.60
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.99 | 1 |
| Practice expense | 0.4 | 0.92 |
| Malpractice | 0.18 | 0.473 |
(1.99 × 1 + 0.4 × 0.92 + 0.18 × 0.473) × $33.4009 = $81.60
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.
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.
12,35793990,26,Doppler flow testing,A,,0.49,0.11,,0.11,,0.07,0.67,0.67,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,35893990,TC,Doppler flow testing,A,,0.00,3.62,,3.62,NA,0.03,3.65,3.65,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,3.17,3.17,0.03
12,35993998,,Unlistd noninvas vasc dx std,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
12,36094002,,Vent mgmt inpat init day,A,,1.99,0.40,NA,0.40,,0.18,2.57,2.57,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,36194003,,Vent mgmt inpat subq day,A,,1.37,0.28,NA,0.28,,0.12,1.77,1.77,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,36294004,,Vent mgmt nf per day,A,,1.00,0.24,NA,0.24,,0.07,1.31,1.31,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,36394005,,Home vent mgmt supervision,B,+,1.50,1.22,,1.22,NA,0.08,2.80,2.80,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772