$27.22
Choose 94667 for the initial manual chest wall treatment and 94668 for a subsequent session.
On this page
CMS RVU26D · Effective 2026-10-01
94668 Chest wall therapy Medicare reimbursement rates in Wyoming
Report 94668 for a subsequent session of manual chest wall techniques used to mobilize pulmonary secretions and support lung function. Compare 94668 office and facility rates across CMS payment localities in Wyoming.
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 94668 in Wyoming?
Wyoming 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
$38.91
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 94668: Subsequent manual chest wall therapy
Report 94668 for a subsequent session of manual chest wall techniques used to mobilize pulmonary secretions and support lung function.
94668 describes a later session of manually applied chest wall techniques, such as percussion or vibration, to help mobilize airway secretions. It may be used in respiratory care for patients who need secretion-clearance therapy, including people with chronic lung disease or an acute respiratory illness. A respiratory therapist or other qualified clinician commonly performs the treatment in an outpatient setting.
Use this code for a subsequent treatment, rather than the initial service represented by 94667. Documentation should identify the reason for secretion-clearance therapy, the manual techniques performed, and the treatment provided at that session. Under the CMS incident-to rule, the service is billed only when performed under physician supervision.
CMS billing rules for 94668
- 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) RVU1.15 · 98%
- Malpractice RVU0.02 · 2%
6.2K
Medicare services in 2024 · #1732 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.
94668 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$25.55
94668 describes manual techniques such as percussion or vibration; 94669 describes mechanical chest wall oscillation.
$8.60
94640 describes an inhalation treatment, not manual chest wall techniques for secretion clearance.
Compare 94668 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
Wyoming** →
Office / nonfacility
$38.91
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 94668 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
12,419
- Code
- 94668
- Physician work
- 0.00
- Practice expense
- 1.15
- Malpractice
- 0.02
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 1.15 | × 1.000 | 1.1500 |
| Malpractice | 0.02 | × 0.740 | 0.0148 |
| Total RVUs | 1.1648 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$38.91
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 1.15 | 1 |
| Malpractice | 0.02 | 0.74 |
(0 × 1 + 1.15 × 1 + 0.02 × 0.74) × $33.4009 = $38.91
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.
94668 billing questions
Can 94668 be reported for the first manual chest wall treatment?
No. 94668 is for a subsequent treatment; 94667 represents the initial service.
What documentation supports 94668?
Record the clinical need for secretion clearance, the manual techniques used, and the treatment delivered at the subsequent session.
Does 94668 describe mechanical chest wall oscillation?
No. It describes manually applied techniques. 94669 is the related code for mechanical chest wall oscillation.
Is nebulizer treatment included in 94668?
No. 94668 describes manual chest wall therapy, while 94640 describes an inhalation treatment. Report each only when that distinct service was performed.
What supervision is required for Medicare billing?
CMS identifies 94668 as an incident-to service; it is billed only when performed under physician supervision.
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.
12,41694660,,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
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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,