HCPCS code G0239: Respiratory therapy, group, each 15 minutes2026 Medicare rate & RVUs in Maine
Report G0239 for timed respiratory therapeutic procedures delivered to two or more patients together, rather than as individual one-to-one treatment.
Medicare pays $13.11–$14.11 for G0239 in the office in Maine, from Rest of Maine to Southern Maine, ME. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What G0239 covers
G0239 represents respiratory therapy provided to at least two patients in a group, with the service directed at improving respiratory function or building respiratory muscle strength and endurance. It is used in settings such as pulmonary rehabilitation, where a respiratory therapist or other qualified therapy professional leads prescribed therapeutic activity for participants together. The group format distinguishes this service from individualized respiratory procedures, even when the therapeutic goals are similar.
Report the code for each 15 minutes of qualifying group treatment furnished to the patient. Documentation should identify the respiratory intervention, the patient’s participation, the group format, and the time supporting the units billed. CMS assigns no physician work RVU; the fee schedule value reflects practice expense and malpractice components. This is an incident-to service, so it may be billed only when performed under physician supervision.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where G0239 pays more and less in Maine
| Payment locality | Office | Facility |
|---|---|---|
| Rest of Maine | $13.11 | Unavailable |
| Southern Maine, ME | $14.11 | Unavailable |
How the G0239 rate is calculated
Each of G0239’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · G0239
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.42
0.42 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.4300
Conversion factor
$33.4009
Medicare rate
$14.36
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for G0239
The CMS indicators that decide how G0239 is paid alongside other services.
CMS payment indicators · G0239
Respiratory therapy, group, each 15 minutes
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 5 | Incident-to service. |
G0239 compared with similar codes
Compare codes · National
G0239 vs G0237 vs G0238: Medicare rates
How to choose
- G0237Respiratory therapyMuscle strength or endurance
- Choose G0237 for individual treatment directed at respiratory muscle strength or endurance. G0239 reflects respiratory therapeutic treatment delivered to a group.
- G0238Respiratory therapyIndividual, other therapeutic procedures
- G0238 is performed one-on-one; G0239 is performed with at least two patients together. The group format is the key distinction.
G0239 billing questions
How does G0239 differ from G0238?
G0239 is for respiratory therapeutic procedures delivered to two or more patients together. G0238 is the corresponding individual, one-to-one service.
How does G0239 differ from G0237?
G0237 describes individual treatment focused on respiratory muscle strength or endurance. G0239 is the group-format code for respiratory therapeutic procedures.
How many units may be reported?
G0239 is reported in 15-minute units for the qualifying group treatment furnished to the patient. Record the time supporting the units; do not count the same minutes twice for overlapping services.
What documentation supports G0239?
Document the respiratory therapy provided, the patient’s participation, the group setting with at least two individuals, and the time spent in the service.
Can a therapist bill G0239 without physician supervision?
No. CMS identifies G0239 as an incident-to service and permits billing only when the service is performed under physician supervision.
Is G0239 the same as a pulmonary rehabilitation session code?
No. G0239 reports timed group respiratory procedures; G0424 represents pulmonary rehabilitation by the session. Select the code that matches the service furnished and documented.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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