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See a sample rate comparisonCPT 94610 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.
Intrapulmonary Surfactant Admi, Intrapulmonary Surfactant Administration By A Physician Or Other Qualified Health Care Professional Through Endotracheal Tube
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Pulmonary Procedures |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office |
| Common Modifiers | 59 - Distinct Procedural Service SA |
| Complexity Level | Low |
| Medicare Fee Schedule | $47.76 national non-facility rate (2026) · View Medicare rates for 94610 |
| Medicaid Fee Schedule | $39.57 median of the 8 states in the free preview · View Medicaid rates for 94610 |
National average reimbursement for CPT 94610 by major payers:
$77.48
$75.00
$77.13
$100.41
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CPT 94610
5 of 25 sample ratesHigher to lower in this preview
Andrew Knox
Aurora Medical Group Inc
$175.69Published rateDeborah Couch
Loyola University Medical Center
$108.56Published rateKaren Severson
Loyola University Medical Center
$91.58Published rateJohn Millichap
$58.02Published rateKristin Whitley
Town Center Orthopaedic Associates, P.C.
$45.68Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 94610 vs. Other Pulmonary Procedures Codes
The CPT 94610 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 94610 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 |
|---|---|---|
| 94610-CPT | Low | Intrapulmonary Surfactant Admi, Intrapulmonary Surfactant Administration By A Physician Or Other Qualified Health Care Professional Through Endotracheal Tube |
| 94618-CPT | Low | Pulmonary Stress Testing (Eg, Pulmonary Stress Testing (Eg 6-Minute Walk Test)Including Measurement Of Heart Rate Oximetry An D Oxygen Titration When Performed Age Adjustment (As Needed) And Scheduling Of Additional Test(S) When Performed |
| 94640-CPT | Low | Pressurized Or Nonpressurized Inhalation Treatmentfor Acute Airway Obstruction For Therapeutic Purposes And/Or For Diagnostic Purposes (Such As Sputum Induction With An Aerosol Generator Nebulizer Metered Dose Inhaler Or Intermittent Positive Pressure Breathing (Ippb) Device) (Desc Revised 01/01/2016) |
| 94642-CPT | Low | Pneumonia Inhalation Treatment, Inhalation Treatment For Pneumocystis Jiroveci. This Type Of Pneumonia Infects Immune-Compromised Individuals. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 94610. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 94610 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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