$51.56
94780 reports the initial 60 minutes of infant car seat or car bed testing; 94781 reports each additional 30 minutes.
On this page
CMS RVU26D · Effective 2026-10-01
94781 Infant car seat test Medicare reimbursement rates in Nebraska
Reports each additional 30 minutes of infant car seat or car bed monitoring beyond the initial 60-minute test for an infant age 12 months or younger. Compare 94781 office and facility rates across CMS payment localities in Nebraska.
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 94781 in Nebraska?
Nebraska 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
$20.60
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
$6.73
1 of 1 localities have a supported rate.
Payment area: Nebraska
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.
Pulmonary testing
About 94781: Additional infant car seat or bed testing
Reports each additional 30 minutes of infant car seat or car bed monitoring beyond the initial 60-minute test for an infant age 12 months or younger.
This add-on represents additional monitoring time during a car seat or car bed tolerance test for an infant age 12 months or younger. The infant is observed while positioned in the travel device, with cardiorespiratory monitoring used to identify events such as apnea, bradycardia, or oxygen desaturation. Testing is commonly performed in a hospital or newborn-care setting before discharge, particularly for infants whose clinical history raises concern about tolerance of that position. A clinician or trained staff member conducts the monitoring under the responsible provider’s direction.
Report 94781 with the primary 60-minute test, 94780, when the test continues beyond its initial period; it is not reported by itself. The record should support the additional monitoring time and identify the infant’s response during testing. CMS classifies 94781 as an add-on code billed only with a primary procedure and paid within that procedure’s global period.
CMS billing rules for 94781
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU0.17 · 26%
- Practice expense (office) RVU0.48 · 73%
- Malpractice RVU0.01 · 2%
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.
94781 compared with similar codes
Office rates for Nebraska, from the same CMS release.
94774
No office ratePed home apnea mntr evnt rec
94774 concerns recording events with a pediatric home apnea monitor. It is not additional time for an in-facility car seat or car bed test.
94775
No office ratePed home apnea mntr att only
94775 covers an attendance-only service for pediatric home apnea monitoring, rather than extended infant car seat or car bed testing.
Compare 94781 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
Nebraska →
Office / nonfacility
$20.60
Facility
$6.73
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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 94781 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
12,453
- Code
- 94781
- Physician work
- 0.17
- Practice expense
- 0.48
- Malpractice
- 0.01
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.17 | × 1.000 | 0.1700 |
| Practice expense | 0.48 | × 0.923 | 0.4430 |
| Malpractice | 0.01 | × 0.378 | 0.0038 |
| Total RVUs | 0.6168 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$20.60
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.17 | 1 |
| Practice expense | 0.48 | 0.923 |
| Malpractice | 0.01 | 0.378 |
(0.17 × 1 + 0.48 × 0.923 + 0.01 × 0.378) × $33.4009 = $20.60
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.17 | 1 |
| Practice expense | 0.03 | 0.923 |
| Malpractice | 0.01 | 0.378 |
(0.17 × 1 + 0.03 × 0.923 + 0.01 × 0.378) × $33.4009 = $6.73
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.
94781 billing questions
When should 94781 be reported instead of 94780?
94780 represents the initial 60 minutes of infant car seat or car bed testing. Report 94781 for each additional 30 minutes of testing beyond that initial period.
Can 94781 be billed by itself?
No. It is an add-on code and must be billed with the primary test, 94780.
What documentation supports an additional unit?
Document the test’s duration beyond the initial 60 minutes and the infant’s monitored response while positioned in the car seat or car bed.
Is 94781 for a home apnea monitor study?
No. It reports additional time during an infant car seat or car bed test; home apnea monitoring is a different service.
How does CMS handle payment for 94781?
CMS treats it as an add-on billed only with a primary procedure and pays it within that procedure’s global period.
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.
12,45094776,,Ped home apnea mntr dl&alys,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,3,YYY,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,45194777,,Ped home apnea mntr rvw i&r,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,2,YYY,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,45294780,,Cars/bd tst inft-12mo 60 min,A,,0.48,1.14,,0.10,,0.03,1.65,0.61,0,XXX,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,45394781,,Cars/bd tst inft-12mo +30min,A,,0.17,0.48,,0.03,,0.01,0.66,0.21,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,45494799,,Unlisted pulmonary svc/px,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,45594799,26,Unlisted pulmonary svc/px,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,45694799,TC,Unlisted pulmonary svc/px,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068