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See a sample rate comparisonCPT 94777 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.
Pediatric Home Apnea Monitoring Event Recording Including Respiratory Rate Pattern And Heart Rateper Per 30-Day Period Of Time; Review Interpretation And Preparation Of Report Only By Aphysician Or Other Qualified Health Care Professional (Revised 01/01/13)
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Pulmonary Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | 59 - Distinct Procedural Service 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 94777 |
| Medicaid Fee Schedule | $31.51 median of the 8 states in the free preview · View Medicaid rates for 94777 |
National average reimbursement for CPT 94777 by major payers:
$135.37
$37.83
$54.24
$48.12
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CPT 94777
5 of 25 sample ratesHigher to lower in this preview
Lauren Schumacher
$187.28Published rateHaidar Kabbani
Osf Multi-Specialty Group
$58.61Published rateMusaddiq Tariq
Loyola University Medical Center
$53.09Published rateNaga Guntupalli
Riverside Health System
$46.50Published rateDhruv Pateder
Town Center Orthopaedic Associates, P.C.
$26.47Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 94777 vs. Other Pulmonary Procedures Codes
The CPT 94777 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 94777 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 |
|---|---|---|
| 94774-CPT | Moderate | Pediatric Home Apnea Monitoring Event Recording Including Respiratory Rate Pattern And Heart Rate Per 30-Day Period Of Time; Includes Monitor Attachment Download Of Data Review Interpretation And Preparation Of A Report By A Physician Or Other Qualified Health Care Professional (Revised 01/01/13) |
| 94775-CPT | Low | Ped Home Apnea Mntr Att Only, Pediatric Home Apnea Monitoring Event Recording Including Respiratory Rate Pattern And Heart Rate Per 30-Day Period Of Time; Monitor Attachment Only (Includes Hook-Up Initiation Of Recording And Disconnection) |
| 94776-CPT | Moderate | Ped Home Apnea Rec Downld, Pediatric Home Apnea Monitoring Event Recording Including Respiratory Rate Pattern And Heart Rate Per 30 Day Period Of Time Monitoring Download Of Information Receipt Of Transmission S And Analyses By Computer Only |
| 94777-CPT | Low | Pediatric Home Apnea Monitoring Event Recording Including Respiratory Rate Pattern And Heart Rateper Per 30-Day Period Of Time; Review Interpretation And Preparation Of Report Only By Aphysician Or Other Qualified Health Care Professional (Revised 01/01/13) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 94777. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 94777 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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