Pulmonary Rehabilitation Program Toolkit

The Pulmonary Rehabilitation Toolkit is designed to educate and assist hospitals in setting the charge for G0424, the code assigned Medicare’s pulmonary rehabilitation program benefit. In its final rule announcing 2012 payment rates, CMS highlights G0424 as a primary example of hospitals’ failure to develop appropriate charges for new “bundled” codes that reflect a broad base of services that had been separately billable (see p. 8 of this toolkit). The information provided here is designed to ensure that hospitals carefully consider all the services, supplies and equipment that are integral to the provision of pulmonary rehabilitation services encompassed in G0424 and establish appropriate charges reflective of that scope of services.