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See a sample rate comparisonCPT 94644 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.
Conti Nhalation Treatmn W/ Aerosol Medicat For Acute Airw, Continuous Inhalation Treatment With Aerosol Medication For Acute Airw
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Pulmonary Procedures |
| Common Place of Service | 11 - Office 20 - Urgent Care Facility |
| Common Modifiers | 59 - Distinct Procedural Service TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $62.46 national non-facility rate (2026) · View Medicare rates for 94644 |
| Medicaid Fee Schedule | $51.075 median of the 8 states in the free preview · View Medicaid rates for 94644 |
National average reimbursement for CPT 94644 by major payers:
$72.17
$60.73
$64.91
$94.47
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CPT 94644
5 of 25 sample ratesHigher to lower in this preview
Sonam Verma
$122.51Published rateSteven Sharp
Loyola University Medical Center
$102.83Published rateMark Wainwright
Pediatric Faculty Foundation In
$81.08Published rateTown Center Orthopaedic Associates, P.C.
$58.57Published rateJocelyn Lorenzo
$39.49Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 94644 vs. Other Pulmonary Procedures Codes
The CPT 94644 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 94644 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 |
|---|---|---|
| 94375-CPT | Low | Test Change In Lung Volume, Measurement Of The Changes In Lung Volume Over Time As During A Series Of Tests. The Curve Described By The Values Can Help To Locate The Exact Place Where Airflow Is Restricted. |
| 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. |
| 94644-CPT | Low | Conti Nhalation Treatmn W/ Aerosol Medicat For Acute Airw, Continuous Inhalation Treatment With Aerosol Medication For Acute Airw |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 94644. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 94644 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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