# CPT 94625: Physical therapy for chronic lung disease, without continuous oximetry, per session

Medicare CPT 94625 pays $87.18 in a non-facility setting and $16.37 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $76.01 in Arkansas to $101.09 in District of Columbia, a 33% spread.

Web page: https://www.med-reveal.com/rates/94625-cpt-fee-schedule
Section: Rehabilitation and Therapy

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $87.18 |
| National facility | $16.37 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $101.09 | $17.68 |
| California | $100.31 | $16.52 |
| Washington | $97.49 | $16.77 |
| Alaska | $97.21 | $21.80 |
| New Jersey | $97.19 | $17.47 |
| New York | $96.84 | $17.85 |
| Hawaii | $96.54 | $16.03 |
| Massachusetts | $96.33 | $16.77 |
| Connecticut | $93.43 | $17.16 |
| Colorado | $91.66 | $16.32 |
| Oregon | $90.75 | $16.15 |
| Maryland | $90.59 | $16.77 |
| New Hampshire | $89.98 | $16.27 |
| Rhode Island | $89.65 | $16.50 |
| Florida | $89.00 | $17.96 |
| Minnesota | $88.13 | $15.27 |
| Puerto Rico | $87.96 | $16.37 |
| Virgin Islands | $87.96 | $16.37 |
| Montana | $87.17 | $16.36 |
| Nevada | $86.97 | $16.09 |
| Wyoming | $86.74 | $15.93 |
| Illinois | $86.26 | $17.84 |
| Delaware | $86.19 | $16.23 |
| North Dakota | $86.18 | $15.37 |
| South Dakota | $86.07 | $15.26 |
| Texas | $85.98 | $16.27 |
| Pennsylvania | $85.90 | $16.54 |
| Vermont | $85.62 | $15.51 |
| Virginia | $85.44 | $15.83 |
| Arizona | $84.66 | $16.04 |
| Georgia | $84.14 | $16.59 |
| Michigan | $83.38 | $16.89 |
| Maine | $83.29 | $15.63 |
| Wisconsin | $82.93 | $15.10 |
| Utah | $82.60 | $16.04 |
| North Carolina | $81.65 | $15.58 |
| New Mexico | $81.41 | $16.48 |
| South Carolina | $81.34 | $15.91 |
| Missouri | $81.10 | $16.12 |
| Indiana | $80.95 | $15.31 |
| Louisiana | $80.86 | $16.22 |
| Ohio | $80.80 | $16.15 |
| Nebraska | $80.48 | $15.12 |
| Idaho | $80.42 | $15.27 |
| Iowa | $79.92 | $15.13 |
| Tennessee | $79.72 | $15.35 |
| Kansas | $79.29 | $15.28 |
| Oklahoma | $78.94 | $15.71 |
| Kentucky | $78.88 | $15.93 |
| West Virginia | $78.27 | $16.74 |
| Alabama | $77.27 | $15.31 |
| Mississippi | $76.53 | $15.56 |
| Arkansas | $76.01 | $15.18 |

## Related codes

- 94626: Physical therapy for chronic lung disease, with continuous oximetry, per session — https://www.med-reveal.com/rates/94626-cpt-fee-schedule
- G0237: Individual pulmonary rehabilitation, breathing retraining, per 15 minutes — https://www.med-reveal.com/rates/G0237-hcpcs-fee-schedule
- G0238: Individual pulmonary rehabilitation exercises, per 15 minutes — https://www.med-reveal.com/rates/G0238-hcpcs-fee-schedule
- G0239: Group pulmonary rehabilitation exercises — https://www.med-reveal.com/rates/G0239-hcpcs-fee-schedule
- G0424: Pulmonary rehabilitation, including exercise, per session — https://www.med-reveal.com/rates/G0424-hcpcs-fee-schedule

Commercial negotiated rates for 94625 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