Medicare Claims Processing Manual (Pub. 100-04), Ch. 5 § 100.12
Billing for Respiratory Therapy Services in a CORF
100.12 - Billing for Respiratory Therapy Services in a CORF
(Rev. 1459; Issued: 02-22-08; Effective: 07-01-08; Implementation: 07-07-08)
The CORF providers shall only bill respiratory therapy services with revenue codes 0410,
0412 and 0419. See Chapter 25, Completing and Processing the CMS-1450 Data Set, for
revenue code descriptions.
Exhibit 1 - Physician Fee Schedule Abstract File
(Rev. 515, Issued: 04-01-05, Effective: 01-03-05, Implementation: 07-05-05)
This file contains nonfacility fee schedule payment amounts for the outpatient
rehabilitation, and CORF HCPCS codes listed in §20. These codes are identified in the
abstract file by a value of “R” in the fee indicator field. The file includes fee schedule
payment amounts by locality and is available via the CMS Mainframe
Telecommunications System (formerly referred to as the Network Data Mover).
Record Length:
Record Format:
Block size:
Character Code:
Sort Sequence:
60
FB
6000
EBCDIC
A/B MAC (B), Locality HCPCS Code, Modifier
Data Element Name
COBOL
Location
Picture
Value
1 – HCPCS
1-5
X(05)