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See a sample rate comparisonHealthcare 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 20 - Urgent Care Facility |
| Common Modifiers | 59 - Distinct Procedural Service XU - Unusual Non-Overlapping Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $27.39 national non-facility rate (2026) · View Medicare rates for 94667 |
| Medicaid Fee Schedule | $22.29 median of the 8 states in the free preview · View Medicaid rates for 94667 |
National average reimbursement for CPT 94667 by major payers:

$33.98

$31.00

$29.29

$39.42
Choose a payer to see a sample of rates for CPT 94667.
David Hsu
Swedishamerican Hospital
Rhonda Lampen
Loyola University Medical Center
Kelly Rhodes
Riverside Health System
Andrea Ward
Veterans Assistance Commission C
Jeffrey Tsai
Town Center Orthopaedic Associates, P.C.
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 94667 vs. Other Pulmonary Procedures Codes
The CPT 94667 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 94667 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 |
|---|---|---|
| 94664-CPT | Low | Drug Delivery Device Use, Instruction In Or Evaluation Of The Use Of A Device For Giving Medication Such As A Nebulizer Inhaler Or Intermittent Positive Breathing Device. These Help To Manage Symptoms That Close Off The Airways. |
| 94667-CPT | Low | Chest Wall Manipulation, Manipulation Chest Wall Such As Cupping Percussing And Vibration To Facilitate Lung Function Initial Demonstration And Or Evaluation |
| 94668-CPT | Low | Manipulation Chest Wall Such, Manipulation Chest Wall Such As Cupping Percussing Andvibration To Facilitate Lung Function Subsequent |
| 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 94667. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 94667 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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