# CPT 94002: Ventilation assist management, hospital inpatient, initial day

Medicare CPT 94002 pays $85.84 in a non-facility setting and $85.84 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $81.04 in Arkansas to $117.24 in Alaska, a 45% spread.

Web page: https://www.med-reveal.com/rates/94002-cpt-fee-schedule
Section: Medical and Therapeutic Services
Billed by: General Acute Care Hospital

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $85.84 |
| National facility | $85.84 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $117.24 | $117.24 |
| New York | $92.70 | $92.70 |
| District of Columbia | $92.49 | $92.49 |
| Florida | $91.58 | $91.58 |
| New Jersey | $91.44 | $91.44 |
| Illinois | $91.10 | $91.10 |
| Connecticut | $89.46 | $89.46 |
| Washington | $88.54 | $88.54 |
| Massachusetts | $88.45 | $88.45 |
| California | $87.92 | $87.92 |
| Maryland | $87.74 | $87.74 |
| Michigan | $87.48 | $87.48 |
| Rhode Island | $86.89 | $86.89 |
| West Virginia | $86.68 | $86.68 |
| Pennsylvania | $86.57 | $86.57 |
| Georgia | $86.51 | $86.51 |
| Colorado | $86.18 | $86.18 |
| New Mexico | $85.94 | $85.94 |
| Puerto Rico | $85.90 | $85.90 |
| Virgin Islands | $85.90 | $85.90 |
| Montana | $85.83 | $85.83 |
| New Hampshire | $85.64 | $85.64 |
| Texas | $85.57 | $85.57 |
| Oregon | $85.43 | $85.43 |
| Delaware | $85.41 | $85.41 |
| Hawaii | $85.14 | $85.14 |
| Louisiana | $84.96 | $84.96 |
| Nevada | $84.85 | $84.85 |
| Ohio | $84.73 | $84.73 |
| Missouri | $84.65 | $84.65 |
| Arizona | $84.56 | $84.56 |
| Utah | $84.43 | $84.43 |
| Wyoming | $84.28 | $84.28 |
| South Carolina | $83.92 | $83.92 |
| Kentucky | $83.85 | $83.85 |
| Virginia | $83.85 | $83.85 |
| Oklahoma | $83.07 | $83.07 |
| Maine | $83.00 | $83.00 |
| North Carolina | $82.77 | $82.77 |
| Vermont | $82.74 | $82.74 |
| Mississippi | $82.41 | $82.41 |
| North Dakota | $82.27 | $82.27 |
| Minnesota | $82.00 | $82.00 |
| South Dakota | $81.85 | $81.85 |
| Tennessee | $81.84 | $81.84 |
| Indiana | $81.77 | $81.77 |
| Idaho | $81.60 | $81.60 |
| Kansas | $81.58 | $81.58 |
| Alabama | $81.56 | $81.56 |
| Wisconsin | $81.12 | $81.12 |
| Iowa | $81.08 | $81.08 |
| Nebraska | $81.07 | $81.07 |
| Arkansas | $81.04 | $81.04 |

## Related codes

- 94003: Ventilation assist management, hospital inpatient, each subsequent day — https://www.med-reveal.com/rates/94003-cpt-fee-schedule
- 94010: Spirometry, including graphic record — https://www.med-reveal.com/rates/94010-cpt-fee-schedule
- 94060: Bronchodilation responsiveness, spirometry pre and post — https://www.med-reveal.com/rates/94060-cpt-fee-schedule
- 94070: Bronchospasm provocation evaluation, multiple spirometric determinations — https://www.med-reveal.com/rates/94070-cpt-fee-schedule
- 94150: Vital capacity, total (separate procedure) — https://www.med-reveal.com/rates/94150-cpt-fee-schedule
- 94200: Maximum breathing capacity, maximal voluntary ventilation — https://www.med-reveal.com/rates/94200-cpt-fee-schedule
- 94375: Respiratory flow volume loop — https://www.med-reveal.com/rates/94375-cpt-fee-schedule
- 94400: Breathing response to CO2 — https://www.med-reveal.com/rates/94400-cpt-fee-schedule

Commercial negotiated rates for 94002 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules