# CPT 94626: Physical therapy for chronic lung disease, with continuous oximetry, per session

Medicare CPT 94626 pays $109.22 in a non-facility setting and $24.38 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $95.65 in Arkansas to $126.19 in District of Columbia, a 32% spread.

Web page: https://www.med-reveal.com/rates/94626-cpt-fee-schedule
Section: Rehabilitation and Therapy

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $109.22 |
| National facility | $24.38 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $126.19 | $26.25 |
| California | $124.98 | $24.60 |
| Alaska | $123.25 | $32.90 |
| Washington | $121.66 | $24.95 |
| New Jersey | $121.49 | $25.96 |
| New York | $121.14 | $26.49 |
| Hawaii | $120.32 | $23.86 |
| Massachusetts | $120.28 | $24.96 |
| Connecticut | $116.88 | $25.50 |
| Colorado | $114.58 | $24.31 |
| Oregon | $113.44 | $24.06 |
| Maryland | $113.39 | $24.95 |
| New Hampshire | $112.54 | $24.23 |
| Rhode Island | $112.23 | $24.60 |
| Florida | $111.73 | $26.61 |
| Puerto Rico | $110.16 | $24.38 |
| Virgin Islands | $110.16 | $24.38 |
| Minnesota | $110.13 | $22.83 |
| Montana | $109.22 | $24.38 |
| Nevada | $108.92 | $24.00 |
| Wyoming | $108.61 | $23.77 |
| Illinois | $108.44 | $26.47 |
| Delaware | $108.02 | $24.20 |
| North Dakota | $107.83 | $22.99 |
| Texas | $107.79 | $24.27 |
| Pennsylvania | $107.74 | $24.65 |
| South Dakota | $107.67 | $22.83 |
| Vermont | $107.18 | $23.19 |
| Virginia | $107.03 | $23.64 |
| Arizona | $106.15 | $23.94 |
| Georgia | $105.66 | $24.72 |
| Michigan | $104.79 | $25.13 |
| Maine | $104.42 | $23.36 |
| Wisconsin | $103.90 | $22.62 |
| Utah | $103.69 | $23.94 |
| North Carolina | $102.47 | $23.31 |
| New Mexico | $102.37 | $24.58 |
| South Carolina | $102.17 | $23.78 |
| Missouri | $101.92 | $24.07 |
| Louisiana | $101.66 | $24.20 |
| Indiana | $101.58 | $22.94 |
| Ohio | $101.57 | $24.11 |
| Nebraska | $100.98 | $22.67 |
| Idaho | $100.93 | $22.88 |
| Iowa | $100.32 | $22.69 |
| Tennessee | $100.11 | $23.00 |
| Kansas | $99.60 | $22.90 |
| Oklahoma | $99.26 | $23.50 |
| Kentucky | $99.23 | $23.81 |
| West Virginia | $98.68 | $24.95 |
| Alabama | $97.18 | $22.95 |
| Mississippi | $96.35 | $23.31 |
| Arkansas | $95.65 | $22.78 |

## Related codes

- 94625: Physical therapy for chronic lung disease, without continuous oximetry, per session — https://www.med-reveal.com/rates/94625-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 94626 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