$24.90
Use 94667 for the initial hands-on chest-wall service, such as manual percussion or vibration. Use 94669 when the session uses a mechanical oscillation device.
On this page
CMS RVU26D · Effective 2026-10-01
94669 Chest oscillation Medicare reimbursement rates in Idaho
Mechanical chest wall oscillation uses an oscillatory device to mobilize pulmonary secretions during a treatment session, commonly for patients with impaired airway clearance. Compare 94669 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 94669 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
$23.36
1 of 1 localities have a supported rate.
Payment area: Idaho
One mapped payment locality.
Facility setting
No supported rate
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 therapy
About 94669: Mechanical chest wall oscillation session
Mechanical chest wall oscillation uses an oscillatory device to mobilize pulmonary secretions during a treatment session, commonly for patients with impaired airway clearance.
This service covers a treatment session using a powered oscillatory vest or comparable chest-wall device to loosen and mobilize airway secretions. It may be part of an airway-clearance plan for patients who have difficulty clearing secretions, including people with cystic fibrosis or bronchiectasis. Respiratory therapists commonly deliver the treatment in an outpatient pulmonary or respiratory-care setting while the patient wears the device.
Report 94669 for mechanical treatment, rather than hands-on chest percussion or vibration. The treatment record should identify the airway-clearance indication and the device-based session, and may describe the patient’s tolerance or response. The code is reported per session, not by elapsed time. CMS treats this as an incident-to service: it may be billed only when performed under physician supervision. CMS assigns no physician work RVU; its valuation reflects practice expense and malpractice.
CMS billing rules for 94669
- Professional and technical components
- Incident-to service: billed only when performed under physician supervision.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU0.75 · 97%
- Malpractice RVU0.02 · 3%
153
Medicare services in 2024 · #4551 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.
94669 compared with similar codes
Office rates for Idaho, from the same CMS release.
$35.65
94668 represents subsequent hands-on chest-wall treatment. It does not describe a device-based oscillation session.
$7.84
94640 covers an inhalation treatment, such as delivery of an inhaled medication. It does not represent mechanical mobilization of airway secretions.
Compare 94669 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
$23.36
Facility
Unavailable
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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 94669 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
12,420
- Code
- 94669
- Physician work
- 0.00
- Practice expense
- 0.75
- Malpractice
- 0.02
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 0.75 | × 0.920 | 0.6900 |
| Malpractice | 0.02 | × 0.473 | 0.0095 |
| Total RVUs | 0.6995 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Idaho$23.36
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 0.75 | 0.92 |
| Malpractice | 0.02 | 0.473 |
(0 × 1 + 0.75 × 0.92 + 0.02 × 0.473) × $33.4009 = $23.36
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.
94669 billing questions
How does 94669 differ from manual chest physiotherapy?
94669 represents a mechanical oscillation treatment session. Hands-on chest percussion or vibration is represented by 94667 or 94668, depending on whether it is the initial or a subsequent service.
Is 94669 reported by time or by session?
It is reported per treatment session, not by elapsed time.
Can a respiratory therapist perform the service?
Yes. CMS permits billing as an incident-to service only when the treatment is performed under physician supervision.
Can an inhalation treatment also be reported?
A separately performed inhalation treatment, such as bronchodilator delivery, is represented by 94640. The record should distinguish that treatment from the mechanical chest-wall session.
What should the treatment record identify?
Document the airway-clearance indication and the mechanical device session. A note about the patient’s tolerance or response can further describe the service performed.
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.
12,41794664,,Demo&/eval pt use inhaler,A,,0.00,0.58,,0.58,NA,0.02,0.60,0.60,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,41894667,,Mnpj chest wall 1st,A,,0.00,0.80,,0.80,NA,0.02,0.82,0.82,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,41994668,,Mnpj chest wall sbsq,A,,0.00,1.15,,1.15,NA,0.02,1.17,1.17,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,42094669,,Mechanical chest wall oscill,A,,0.00,0.75,,0.75,NA,0.02,0.77,0.77,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,42194680,,O2 uptk rst&xers dir simple,A,,0.25,1.45,,1.45,NA,0.03,1.73,1.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,42294680,26,O2 uptk rst&xers dir simple,A,,0.25,0.11,,0.11,,0.01,0.37,0.37,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,42394680,TC,O2 uptk rst&xers dir simple,A,,0.00,1.34,,1.34,NA,0.02,1.36,1.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
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