Question:
What does Medicare require for pulmonary rehabilitation patient coverage?
Answer:
Medicare requires that a patient meet the chronic obstructive pulmonary disease (COPD) GOLD stages II–IV criteria to be eligible for Medicare coverage of pulmonary rehabilitation as described by HCPCS level II code G0424.
| G0424 | Pulmonary rehabilitation, including exercise (includes monitoring) one hour, per session, up to two sessions per day |
This question was answered in our annual Respiratory Therapy Reimbursement & Compliance Update webcast. For more hot topics relating to respiratory services, please visit our store or call us at 1.800.252.1578, ext. 2.
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