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See a sample rate comparisonCPT 94452 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
High Altitude Simulation Test, High Altitude Simulation Test (Hast) With Interpretation And Report By A Physician Or Other Qualified Health Care Professional
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Pulmonary Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $57.45 national non-facility rate (2026) · View Medicare rates for 94452 |
| Medicaid Fee Schedule | $47.12 median of the 8 states in the free preview · View Medicaid rates for 94452 |
National average reimbursement for CPT 94452 by major payers:
$62.05
$68.98
$68.99
$92.37
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CPT 94452
5 of 25 sample ratesHigher to lower in this preview
Haidar Kabbani
Pediatric Faculty Foundation In
$106.12Published rateShannon Jennings
Ottawa Regional Hospital & Healthcare Center
$81.55Published rateCharles Marcuccilli
$64.97Published rateAniruddha Deka
$47.40Published rateNarsimha Muddasani
Touchette Regional Hospital Inc
$13.63Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 94452 vs. Other Pulmonary Procedures Codes
The CPT 94452 code is part of the Medicine Services and Procedures services used for Pulmonary Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 94452 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 94450-CPT | Low | Breathing Response To Hypoxia |
| 94452-CPT | Low | High Altitude Simulation Test, High Altitude Simulation Test (Hast) With Interpretation And Report By A Physician Or Other Qualified Health Care Professional |
| 94453-CPT | Low | High Altitude Simulation Test, High Altitude Simulation Test (Hast) With Interpretation And Report By A Physician Or Other Qualified Health Care Professional With Supplemental Oxygen Titration |
| 94668-CPT | Low | Manipulation Chest Wall Such, Manipulation Chest Wall Such As Cupping Percussing Andvibration To Facilitate Lung Function Subsequent |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 94452. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 94452 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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