CQW Panacea-re-brand-rev3

Respiratory

For the Week of September 1, 2014

Question:

What codes should be used to report respiratory therapy rehabilitation (RTR) services provided in an outpatient department of an acute-care hospital?

Answer:

For Medicare patients, the following HCPCS codes may be assigned, as appropriate:

G0237 Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring)
G0238 Therapeutic procedures to improve respiratory function, other than described by G0237, one on one, face to face, per 15 minutes (includes monitoring)
G0329 Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring)

The services must be medically reasonable and necessary and prescribed by a physician for the assessment, diagnostic evaluation, treatment, management, and monitoring of patients with deficiencies and abnormalities of cardiopulmonary function. There are certain criteria that patients who require RTR will meet certain criteria, which are listed.

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