CPT 94660 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Medicine Services and Procedures • Pulmonary Procedures |
| Common Place of Service | • 11 - Office • None |
| Common Modifiers | • None • 59 - Distinct Procedural Service • 91 - Repeat Lab Test |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 94660 |
National average reimbursement for CPT 94660 by major payers:
$78.58
$78.80
$79.29
$102.89
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 94660 | ||||||
United | 94660 | $40.00 | 1649599168 - RESTORATIVE HEALTH REHABILITATION INC | 272533824 - (FL) RESTORATIVE HEALTH REHABILITATION INC | FL | Home Health Agency (251E00000X) |
United | 94660 | $119.20 | 1912385295 - ALYSSA STRAM | 911780160 | NY | Psychiatry Physician (2084P0800X) |
United | 94660 | $125.97 | 1174859284 - MATTHEW NIEDZWIECKI | 910844563 | CA | Psychiatry Physician (2084P0800X) |
United | 94660 | $65.45 | 1316237530 - MATHERS CLINIC LLC, MATHERS CLINIC | 300626803 - (IL) MATHERS CLINIC LLC | IL | Psychiatry Physician (2084P0800X) |
United | 94660 | $131.63 | 1992961643 - CYNTHIA GORDON | 815174138 - (IL) ILLINOIS PROFESSIONALS HEALTH PROGR | IL | Psychiatry Physician (2084P0800X) |
United | 94660 | $78.95 | 1144267865 - NITIN PATEL | 431592082 - SGOH ACQUISITION INC | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 94660 | $124.48 | 1033347125 - DAVID HANRAHAN | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | MN | Psychiatry Physician (2084P0800X) |
United | 94660 | $91.83 | 1275564197 - PAUL BERKOWITZ | 363330928 - (IL) PRESENCE HEALTHCARE SERVICES | AZ | Psychiatry Physician (2084P0800X) |
United | 94660 | $131.63 | 1033435557 - JESSICA NICHOLSON | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Psychiatry Physician (2084P0800X) |
United | 94660 | $59.75 | 1699752204 - CATHERINE CAMILLERI | 581672987 - (IL) EDWARD HEALTH VENTURES | IL | Psychiatry Physician (2084P0800X) |
United | 94660 | $216.36 | 1275832438 - ADAM RAPPOPORT | 590634433 - THE NEMOURS FOUNDATION | FL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 94660 | $75.44 | 1437438249 - KAPIL AEDMA | 430957840 - SWOPE HEALTH SERVICES | IL | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 94660 | $160.38 | 1225211600 - JOHN MILLICHAP | 260899565 - MERCY SPECIALTY CLINIC | CO | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 94660 | $60.61 | 1265883375 - JOCELYN LORENZO | 726000821 | LA | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 94660 | $82.69 | 1255692794 - MELISSA WAGNER-SCHUMAN | 376000511 - THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS | IL | Psychiatry Physician (2084P0800X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 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 |
|---|---|---|
| 94150-CPT | Low | Test To Measure The Total Volume Of Air That Can Be Exhaled After Inhaling |
| 94375-CPT | Low | Respiratory Flow Volume Loop |
| 94660-CPT | Low | Initiation And Management Of Continued Pressured Respiratory Assistance By Mask Or Breathing Tube |
| 94662-CPT | Low | Continuous Negative Pressure Ventilation |
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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