HCPCS code G0237 — Therapeutic procd strg endur.
Status: Active.
Effective Oct 1, 2004.
Source: CMS HCPCS Level II.
G0237
ActiveTherapeutic procd strg endur
Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring)
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Oct 1, 2004
Code type:
alphanumeric
OPPS Status:
S
— Significant procedure — not subject to multiple procedure reduction
OPPS APC:
5731
MUE — Medically Unlikely Edits
Maximum units of G0237 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 8 |
| Practitioner Services | 8 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits — Reverse Direction
G0237 cannot be billed together with the following column 1 codes without appropriate documentation.
| Column 1 Code | Modifier |
|---|---|
| G0239 | Modifier may bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)