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See a sample rate comparisonCPT 94660 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.
Cpap Equipment Services, Fitting Adjustment And Management Of Continuous Positive Airway Pressure (Cpap) Equipment To Help With Breathing. Used To Keep The Airway Open During Sleep For A Person With Sleep Apnea. Also Used In The Hospital Setting To Treat Lung Conditions.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Pulmonary Procedures |
| Common Place of Service | 11 - Office |
| Common Modifiers | 59 - Distinct Procedural Service 91 - Repeat Lab Test |
| Complexity Level | Low |
| Medicare Fee Schedule | $69.14 national non-facility rate (2026) · View Medicare rates for 94660 |
| Medicaid Fee Schedule | $55.80 median of the 8 states in the free preview · View Medicaid rates for 94660 |
National average reimbursement for CPT 94660 by major payers:
$78.58
$78.80
$79.29
$100.10
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CPT 94660
5 of 25 sample ratesHigher to lower in this preview
Adam Rappoport
The Nemours Foundation
$216.36Published rateJessica Nicholson
Advocate Health And Hospitals Corporation
$131.63Published rateReid Alley
Riverside Health System
$107.16Published rateNitin Patel
Sgoh Acquisition Inc
$78.95Published rateRestorative Health Rehabilitation Inc
$40.00Published rate
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See a sample payer proposalCPT 94660 vs. Other Pulmonary Procedures Codes
The CPT 94660 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 94660 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. |
| 94660-CPT | Low | Cpap Equipment Services, Fitting Adjustment And Management Of Continuous Positive Airway Pressure (Cpap) Equipment To Help With Breathing. Used To Keep The Airway Open During Sleep For A Person With Sleep Apnea. Also Used In The Hospital Setting To Treat Lung Conditions. |
| 94667-CPT | Low | Chest Wall Manipulation, Manipulation Chest Wall Such As Cupping Percussing And Vibration To Facilitate Lung Function Initial Demonstration And Or Evaluation |
| 94669-CPT | Low | Mchanic Chst Wall Oscillation To Facilitate Lung Funct Per Ses, Mechanical Chest Wall Oscillation To Facilitate Lung Function Per Ses |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 94660. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 94660 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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