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94626 Phy/qhp outpatient pulmonary rhb with mntr

Medicine

Also known as: monitored pulmonary rehab, COPD rehabilitation with monitoring, supervised respiratory rehab

Physician or qualified health professional-supervised outpatient pulmonary rehabilitation with electronic monitoring of vital signs during exercise.

In Plain Language

monitored breathing exercise program; supervised lung rehabilitation

Clinical Context

Used for higher-risk pulmonary rehabilitation patients requiring continuous vital sign monitoring during exercise therapy.

RVU Breakdown

Work RVU0.56
Total RVU0.56

Est. Medicare Payment

$18.70

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 0.56, this code ranks in the 38th percentile among Medicine codes — 1.4x below the median (0.78). The highest wRVU in this category is 23.92.

Specialties

PulmonologyRehabilitation MedicineCritical Care

Frequently Asked Questions

What is CPT code 94626?

CPT 94626 (Phy/qhp outpatient pulmonary rhb with mntr) is a Medicine code. Physician or qualified health professional-supervised outpatient pulmonary rehabilitation with electronic monitoring of vital signs during exercise.

Who uses CPT code 94626?

CPT 94626 is used by Pulmonology, Rehabilitation Medicine, Critical Care. Used for higher-risk pulmonary rehabilitation patients requiring continuous vital sign monitoring during exercise therapy.

When is CPT 94626 used?

Used for higher-risk pulmonary rehabilitation patients requiring continuous vital sign monitoring during exercise therapy.

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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.