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94625 Phy/qhp outpatient pulmonary rhb without mntr

Medicine

Also known as: pulmonary rehab, respiratory rehabilitation, COPD rehabilitation program

Physician or qualified health professional-supervised outpatient pulmonary rehabilitation without electronic monitoring to improve respiratory function and exercise tolerance.

In Plain Language

breathing exercise program; lung rehabilitation

Clinical Context

Used for patients with chronic respiratory disease including chronic obstructive pulmonary disease and interstitial lung disease to improve function and quality of life.

RVU Breakdown

Work RVU0.36
Total RVU0.36

Est. Medicare Payment

$12.02

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

Medicine section codes cover a wide range of non-surgical services. Documentation should include the clinical indication, procedure details, interpretation (if applicable), and any patient-specific findings.

How This Code Compares

With a work RVU of 0.36, this code ranks in the 23rd percentile among Medicine codes — 2.2x below the median (0.78). The highest wRVU in this category is 23.92.

Specialties

PulmonologyRehabilitation MedicineInternal Medicine

Frequently Asked Questions

What is CPT code 94625?

CPT 94625 (Phy/qhp outpatient pulmonary rhb without mntr) is a Medicine code. Physician or qualified health professional-supervised outpatient pulmonary rehabilitation without electronic monitoring to improve respiratory function and exercise tolerance.

Who uses CPT code 94625?

CPT 94625 is used by Pulmonology, Rehabilitation Medicine, Internal Medicine. Used for patients with chronic respiratory disease including chronic obstructive pulmonary disease and interstitial lung disease to improve function and quality of life.

When is CPT 94625 used?

Used for patients with chronic respiratory disease including chronic obstructive pulmonary disease and interstitial lung disease to improve function and quality of life.

Track This Code in RVU Edge

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.