A/B MAC (A) – Pulmonary Rehabilitation Services - Claims

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.