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Pulmonary Rehabilitation (PR) Services Addition to Chapter 19, Indian Health Services (IHS)

Effective January 1, 2010, MACs will pay medically necessary IHS claims containing Healthcare
Common Procedure Coding System (HCPCS) code G0424 (Pulmonary rehabilitation, including
exercise (includes monitoring), one hour, per session, up to two sessions per day) when billing
for Pulmonary Rehabilitation (PR) services, including exercise and monitoring.

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: October 27, 2017

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.