HCPCS code G0239 — Oth resp proc, group. Status: Active. Effective Oct 1, 2004. Source: CMS HCPCS Level II.

G0239

Active

Oth resp proc, group

Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (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: 5732

MUE — Medically Unlikely Edits

Maximum units of G0239 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 2
Practitioner Services 1

Source: CMS Medicare NCCI Medically Unlikely Edits

NCCI Edits

The following codes cannot be billed together with G0239 without appropriate documentation.

Column 2 Code Modifier
G0237 Modifier may bypass edit
G0238 Modifier may bypass edit

Source: CMS National Correct Coding Initiative (NCCI)