Medicare Benefit Policy Manual (Pub. 100-02), Ch. 12 § 40.8
Nursing Services
40.8 - Nursing Services
(Rev. 111, Issued: 09-25-09; Effective Date: 07-07-08; Implementation Date: 10-26-
09)
CORF nursing services may only be provided by an individual meeting the qualifications
of a registered nurse, as defined at 42CFR485.70(h). They must relate to, or be a part of,
the rehabilitation plan of treatment.
CORF nursing services must be reasonable and medically necessary and are provided as
an adjunct to the rehabilitation plan of treatment. For example, a registered nurse may
perform or instruct a patient, as appropriate, in the proper procedure of “in and out”
urethral catheterization, tracheostomy tube suctioning, or the cleaning for ileostomy or
colostomy bags.
Nursing services may not substitute for or supplant the services of physical therapists,
occupational therapists, speech-language pathologists and respiratory therapists, but
instead must support or further the services and goals provided in the rehabilitation plan
of treatment.
CORF nursing services must be provided by a registered nurse and may only be coded as
HCPCS code G0128 indicating that CORF “nursing services” were provided.