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US · guidance

CMS Pub. 100-02, ch. 7, § 80.8

Respiratory Care Services

activein force · 2026-08-25 – presentas-observed

If a respiratory therapist is used to furnish overall training or consultative advice to HHA

staff and incidentally furnishes respiratory therapy services to patients in their homes, the

costs of the respiratory therapist's services are allowable only as administrative costs to

the HHA. Visits by a respiratory therapist to a patient's home are not separately billable

during a HH period of care when a HH plan of care is in effect. However, respiratory

therapy services furnished as part of a plan of care other than a home health plan of care

by a licensed nurse or physical therapist and that constitute skilled care may be covered

and separately billed as skilled visits when the beneficiary is not in a home health period

of care. Note that Medicare billing does not recognize respiratory therapy as a separate

discipline, but rather sees the services in accordance with the revenue code used on the

claims (i.e. 042x).

History

(Rev. 265, Issued: 01-10-20, Effective: 01-01-20, Implementation: 02-11-20)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
f4cf0c3277727f8d99537e00666d5d3141c7b010e7c044cc0fdb5305ea8f6fee
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