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See a sample rate comparisonCPT 94453 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 With Supplemental Oxygen Titration
| 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 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $75.82 national non-facility rate (2026) · View Medicare rates for 94453 |
| Medicaid Fee Schedule | $62.185 median of the 8 states in the free preview · View Medicaid rates for 94453 |
National average reimbursement for CPT 94453 by major payers:
$85.19
$94.75
$92.85
$122.59
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CPT 94453
5 of 25 sample ratesHigher to lower in this preview
Lubov Romantseva
Pediatric Faculty Foundation In
$168.92Published rateAnita Pairitz
Loyola University Medical Center
$114.76Published rateErica Veguilla
Northwestern Memorial Healthcare
$79.25Published rateKavita Thakkar
Pediatric Faculty Foundation In
$37.25Published rateShalini Chawla
Shalini Chawla Md LLC
$24.53Published rate
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See a sample payer proposalCPT 94453 vs. Other Pulmonary Procedures Codes
The CPT 94453 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 94453 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 |
| 94667-CPT | Low | Chest Wall Manipulation, Manipulation Chest Wall Such As Cupping Percussing And Vibration To Facilitate Lung Function Initial Demonstration And Or Evaluation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 94453. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 94453 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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