$38.36
94667 is for the initial demonstration or evaluation of manual chest wall techniques; 94668 is for subsequent manual treatment sessions.
On this page
CMS RVU26D · Effective 2026-10-01
94667 Chest physiotherapy Medicare reimbursement rates in Vermont
Reports an initial evaluation or teaching session for hands-on chest wall techniques used to mobilize airway secretions and support pulmonary clearance. Compare 94667 office and facility rates across CMS payment localities in Vermont.
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 94667 in Vermont?
Vermont 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
$26.79
1 of 1 localities have a supported rate.
Payment area: Vermont
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 94667: Initial manual chest physiotherapy evaluation
Reports an initial evaluation or teaching session for hands-on chest wall techniques used to mobilize airway secretions and support pulmonary clearance.
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.
CMS billing rules for 94667
- 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) RVU0.80 · 98%
- Malpractice RVU0.02 · 2%
2.1K
Medicare services in 2024 · #2421 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.
94667 compared with similar codes
Office rates for Vermont, from the same CMS release.
$25.14
94669 describes mechanical chest wall oscillation, typically delivered with a device. Use 94667 for hands-on percussion, cupping, or vibration.
$8.44
94640 represents an inhalation treatment, such as delivery of inhaled medication. It does not describe manual airway-clearance techniques.
Compare 94667 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
Vermont →
Office / nonfacility
$26.79
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 94667 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
12,418
- Code
- 94667
- Physician work
- 0.00
- Practice expense
- 0.80
- Malpractice
- 0.02
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 0.80 | × 0.990 | 0.7920 |
| Malpractice | 0.02 | × 0.506 | 0.0101 |
| Total RVUs | 0.8021 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$26.79
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 0.8 | 0.99 |
| Malpractice | 0.02 | 0.506 |
(0 × 1 + 0.8 × 0.99 + 0.02 × 0.506) × $33.4009 = $26.79
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.
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 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.
12,41594645,,Cont inhlj tx each addl hour,A,,0.00,0.49,,0.49,NA,0.01,0.50,0.50,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,41694660,,Cpap initiation&mgmt,A,,0.74,1.27,,0.17,,0.06,2.07,0.97,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,41794664,,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
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817