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See a sample rate comparisonCPT 94645 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.
Continuous Inhalation Treatmen, Continuous Inhalation Treatment With Aerosol Medication For Acute Airway Obstruction Each Additional Hour (List Separately In Addition To Code For Primary Procedure)
| 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 76 - Repeat procedure by same physician |
| Complexity Level | Low |
| Medicare Fee Schedule | $16.70 national non-facility rate (2026) · View Medicare rates for 94645 |
| Medicaid Fee Schedule | $13.79 median of the 8 states in the free preview · View Medicaid rates for 94645 |
National average reimbursement for CPT 94645 by major payers:
$21.10
$19.78
$19.88
$34.47
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CPT 94645
5 of 25 sample ratesHigher to lower in this preview
David Hsu
Bellin Memorial Hospital Inc
$37.56Published rateDenis Altman
Pediatric Faculty Foundation In
$29.94Published rateRita Yadava
Rita Yadava Mdsc
$21.52Published rateLubov Romantseva
Veterans Assistance Commission C
$16.90Published rateSunrise Home Health Care Inc.
Sunrise Home Health Care Inc
$5.46Published rate
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See a sample payer proposalCPT 94645 vs. Other Pulmonary Procedures Codes
The CPT 94645 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 94645 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 |
|---|---|---|
| 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 |
| 94645-CPT | Low | Continuous Inhalation Treatmen, Continuous Inhalation Treatment With Aerosol Medication For Acute Airway Obstruction Each Additional Hour (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 94645. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 94645 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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