LCD L37293: Respiratory Care — Noridian
Pulmonology
Government source· CMS / MACverify ↗HCPCS Level II code
G0238 — Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring)
HCPCS Level IIVerified Sep 21, 2026
Medicare payment
$11.36
2026 Physician Fee Schedule · non-facility
Source: CMS Physician Fee Schedule (PPRRVU 2026). CMS fee schedules ↗ · PFS status indicator A
National amount before geographic adjustment. Your MAC's locality rate will differ.
Code definition
Code
G0238
Code system
HCPCS Level II
Full description
Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring)
Policy activity for HCPCS G0238
CLV Intelligence is tracking 3 policy changes that cite HCPCS G0238 between 2026-06-05 and 2026-09-12, drawn from 3 LCD/NCD coverage updates. The changes span Pulmonology.
- LCD/NCD coverage updates
- 3
Counts reflect the source documents CLV has matched to HCPCS G0238 to date; each links to the government publication that is authoritative. Monitored daily from CMS, the Federal Register, and Medicare Administrative Contractor publications.
Recent policy changes matched to G0238
Matched to this code by CLV analysis of each policy. The linked source document is authoritative.
Audit documentation
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