US · guidance
CMS Pub. 100-04, ch. 19, § 100.11.2
A/B MAC (A) – Pulmonary Rehabilitation Services - Claims
Processing
(Rev. 3897, Issued: 10-27-17, Effective: 01-01-10, Implementation: 04-02-18)
Pulmonary Rehabilitation services are reported on TOB 13X or 85X using revenue code
948 and HCPCS code G0424.
No clinic visit shall be billed if a pulmonary rehabilitation service is the only service
received. These services may be billed with or without a clinic visit.
The MSN is suppressed.
Note: See Medicare Claims Processing Manual, Chapter 32 – Billing Requirements for
Special Services, Section 140.4 for additional billing instructions, frequency editing and
limitations.
History
(Rev. 3897, Issued: 10-27-17, Effective: 01-01-10, Implementation: 04-02-18)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
a7d54b9c8c8be87de1efb7c4919bc0234278f6b07e54866b3468e64e1e535e74
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.