Billing code 94667: Chest physiotherapyMedicare rate & RVUs in Illinois
Reports an initial evaluation or teaching session for hands-on chest wall techniques used to mobilize airway secretions and support pulmonary clearance.
Medicare pays $25.44–$28.63 for 94667 in the office in Illinois, from Rest Of Illinois to Suburban Chicago. 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 94667 covers
This service covers hands-on chest wall techniques such as percussion, cupping, and vibration to help mobilize airway secretions. A respiratory therapist commonly provides the treatment and teaches or evaluates the technique for a patient with conditions such as cystic fibrosis or bronchiectasis. It may be furnished in an outpatient clinic or during a hospital stay when airway clearance is part of the treatment plan.
Report this code for the initial demonstration or evaluation of manual chest physiotherapy; use 94668 for subsequent manual treatment sessions. Documentation should identify the technique, the reason airway clearance is needed, and what was taught or evaluated. Under the CMS payment fact for this code, it is billed only when performed under physician supervision. CMS assigns no physician work RVU; the valuation includes practice expense and malpractice components.
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 94667 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
4 payment localities
$25.44 to $28.63
| Payment locality | Office | Facility |
|---|---|---|
| Chicago | $28.39 | Unavailable |
| East St. Louis | $25.93 | Unavailable |
| Rest Of Illinois | $25.44 | Unavailable |
| Suburban Chicago | $28.63 | Unavailable |
How the 94667 rate is calculated
Each of 94667’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 · 94667
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.00Practice expense 0.80Malpractice 0.02
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 94667
The CMS indicators that decide how 94667 is paid alongside other services.
CMS payment indicators · 94667
Chest physiotherapy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 5 | Incident-to service. |
94667 compared with similar codes
Compare codes
94667 vs 94668 vs 94669 vs 94640: national Medicare rates
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How to choose
- 94668Chest wall therapy
- 94667 is for the initial demonstration or evaluation of manual chest wall techniques; 94668 is for subsequent manual treatment sessions.
- 94669Chest oscillation
- 94669 describes mechanical chest wall oscillation, typically delivered with a device. Use 94667 for hands-on percussion, cupping, or vibration.
- 94640Inhalation treatment
- 94640 represents an inhalation treatment, such as delivery of inhaled medication. It does not describe manual airway-clearance techniques.
94667 billing questions
When should 94667 be used instead of 94668?
Use 94667 for the initial demonstration or evaluation of manual chest wall techniques. Use 94668 for subsequent manual treatment sessions.
Does this code describe mechanical chest wall oscillation?
No. It describes hands-on techniques such as percussion, cupping, or vibration. Mechanical chest wall oscillation is represented by 94669.
What documentation supports reporting 94667?
Document the airway-clearance need, the manual technique used, and the initial teaching or evaluation performed.
Who may perform the service for Medicare billing?
CMS identifies this as an incident-to service: it is billed only when performed under physician supervision.
Can an inhalation treatment also be reported?
A distinct inhalation treatment, such as one represented by 94640, is a separate service from manual chest wall treatment. Document each 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 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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