HCPCS code G0239: Respiratory therapy, group, each 15 minutes2026 Medicare rate & RVUs in North Dakota

Report G0239 for timed respiratory therapeutic procedures delivered to two or more patients together, rather than as individual one-to-one treatment.

CMS RVU26DEffective Oct 1, 2026One payment locality8.6K Medicare services in 2024

In North Dakota, Medicare pays $14.16 for G0239 in the office.

$14.16Office (non-facility)
Not available in this settingHospital or facility
−1.4%vs the national office rate ($14.36)

Check a contract rate as a % of Medicare · G0239 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open G0239 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Dakota
  2. What G0239 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How North Dakota compares for G0239

Across 109 of 109 payment localities, the office rate for G0239 runs from $12.22 in Arkansas to $20.41 in San Benito County, CA. North Dakota pays $14.16. The RVUs are the same everywhere; the geographic indexes change the dollars.

G0239 in North Dakota vs other payment areas
  1. North Dakota · this page$14.16
  2. Los Angeles, CA · California$16.82+$2.66
  3. Washington, DC area · District of Columbia$16.90+$2.74
  4. Miami, FL · Florida$15.45+$1.29
  5. Chicago, IL · Illinois$14.87+$0.71
  6. Manhattan, NY · New York$16.83+$2.67
  7. Alaska · Alaska$15.12+$0.96

Other areas in North Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

G0239 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$12.46—
ArkansasArkansas$12.22—
ArizonaArizona$13.88—
Bakersfield, CACalifornia$15.58—
Chico, CACalifornia$15.55—
El Centro, CACalifornia$15.56—
Fresno, CACalifornia$15.55—
Hanford, CACalifornia$15.55—

G0239 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$12.22

$17.98

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
G0239 office rate range by state
State / territoryOffice rate rangeLocalities
AK$15.121
AL$12.461
AR$12.221
AZ$13.881
CA$15.55–$20.4129
CO$15.191
CT$15.511
DC$16.901
DE$14.161
FL$13.91–$15.453
GA$12.91–$14.652
GU$16.141
HI$16.141
IA$12.971
ID$13.061
IL$13.33–$15.004
IN$13.171
KS$12.851
KY$12.781
LA$12.74–$13.582
MA$15.04–$17.052
MD$14.50–$16.903
ME$13.11–$14.112
MI$13.19–$14.102
MN$14.531
MO$12.42–$13.693
MS$12.331
MT$14.361
NC$13.301
ND$14.161
NE$13.071
NH$14.901
NJ$15.69–$16.632
NM$13.271
NV$14.321
NY$13.56–$17.305
OH$13.141
OK$12.791
OR$14.21–$15.832
PA$13.19–$15.002
PR$14.511
RI$14.791
SC$13.251
SD$14.141
TN$12.931
TX$13.08–$15.148
UT$13.491
VA$14.03–$16.902
VI$14.511
VT$14.061
WA$15.03–$17.492
WI$13.541
WV$12.671
WY$14.281

See G0239 in every payment locality

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

Office or facility?

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.

The exact North Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

15,144

Code
G0239
Physician work
0.00
Practice expense
0.42
Malpractice
0.01

GPCI2026.csv

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Office calculation for G0239 in North Dakota
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0000.0000
Practice expense0.42× 1.0000.4200
Malpractice0.01× 0.4060.0041
Total RVUs0.4241
Conversion factor× 33.4009

Office rate, North Dakota$14.16

Office: (0 × 1 + 0.42 × 1 + 0.01 × 0.406) × $33.4009 = $14.16

Open G0239 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical5Incident-to service.

How G0239 has changed in North Dakota

G0239 · Office / nonfacility

$14.16

Effective 2026-10-01

The base rate is $1.38 higher than on 2025-10-01, moving from $12.78 to $14.16 (10.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $12.78changed to$14.16

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.39 changed to 0.42
    • Malpractice GPCI 0.517 changed to 0.406

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $12.82changed to$12.78

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.38 changed to 0.39

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $12.61changed to$12.82

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $12.70changed to$12.61

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.37 changed to 0.38
    • Malpractice GPCI 0.474 changed to 0.517
  5. January 1, 2023

    RVU23A

    $12.95changed to$12.70

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice GPCI 0.431 changed to 0.474

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $12.01changed to$12.95

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.34 changed to 0.37

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $12.08changed to$12.01

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.33 changed to 0.34
    • Malpractice GPCI 0.485 changed to 0.431

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $12.45changed to$12.08

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.34 changed to 0.33
    • Malpractice GPCI 0.540 changed to 0.485

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $13.15changed to$12.45

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.36 changed to 0.34

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $13.12changed to$13.15

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice GPCI 0.547 changed to 0.540

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $13.09changed to$13.12

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice GPCI 0.554 changed to 0.547

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $13.14changed to$13.09

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $13.07changed to$13.14

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $12.73changed to$13.07

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.35 changed to 0.36
    • Malpractice GPCI 0.536 changed to 0.554

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $12.76changed to$12.73

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.37 changed to 0.35
    • Malpractice GPCI 0.517 changed to 0.536

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $12.76

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$14.16Not available in this settingRVU26D
2026-07-01$14.16Not available in this settingRVU26C
2026-04-01$14.16Not available in this settingRVU26B
2026-01-01$14.16Not available in this settingRVU26A
2025-10-01$12.78Not available in this settingRVU25D
2025-07-01$12.78Not available in this settingRVU25C
2025-04-01$12.78Not available in this settingRVU25B
2025-01-01$12.78Not available in this settingRVU25A
2024-10-01$12.82Not available in this settingRVU24D
2024-07-01$12.82Not available in this settingRVU24C
2024-04-01$12.82Not available in this settingRVU24B
2024-03-09$12.82Not available in this settingRVU24AR
2024-01-01$12.61Not available in this settingRVU24A
2023-10-01$12.70Not available in this settingRVU23D
2023-07-01$12.70Not available in this settingRVU23C
2023-04-01$12.70Not available in this settingRVU23B
2023-01-01$12.70Not available in this settingRVU23A
2022-10-01$12.95Not available in this settingRVU22D
2022-07-01$12.95Not available in this settingRVU22C
2022-04-01$12.95Not available in this settingRVU22B
2022-01-01$12.95Not available in this settingRVU22A
2021-10-01$12.01Not available in this settingRVU21D
2021-07-01$12.01Not available in this settingRVU21C
2021-04-01$12.01Not available in this settingRVU21B
2021-01-01$12.01Not available in this settingRVU21A
2020-10-01$12.08Not available in this settingRVU20D
2020-07-01$12.08Not available in this settingRVU20C
2020-04-01$12.08Not available in this settingRVU20B
2020-01-01$12.08Not available in this settingRVU20A
2019-10-01$12.45Not available in this settingRVU19D
2019-07-01$12.45Not available in this settingRVU19C
2019-04-01$12.45Not available in this settingRVU19B
2019-01-01$12.45Not available in this settingRVU19A
2018-10-01$13.15Not available in this settingRVU18D
2018-07-01$13.15Not available in this settingRVU18C
2018-04-01$13.15Not available in this settingRVU18B
2018-01-01$13.15Not available in this settingRVU18AR1
2017-10-01$13.12Not available in this settingRVU17D
2017-07-01$13.12Not available in this settingRVU17C
2017-04-01$13.12Not available in this settingRVU17B
2017-01-01$13.12Not available in this settingRVU17A
2016-10-01$13.09Not available in this settingRVU16D
2016-07-01$13.09Not available in this settingRVU16C
2016-04-01$13.09Not available in this settingRVU16B
2016-01-01$13.09Not available in this settingRVU16A
2015-10-01$13.14Not available in this settingRVU15D
2015-07-01$13.14Not available in this settingRVU15C
2015-04-01$13.07Not available in this settingRVU15B
2015-01-01$13.07Not available in this settingRVU15A
2014-10-01$12.73Not available in this settingRVU14D
2014-07-01$12.73Not available in this settingRVU14C
2014-04-01$12.73Not available in this settingRVU14B
2014-01-01$12.73Not available in this settingRVU14A
2013-10-01$12.76Not available in this settingRVU13D
2013-07-01$12.76Not available in this settingRVU13C
2013-04-01$12.76Not available in this settingRVU13B
2013-01-01$12.76Not available in this settingRVU13AR

Price G0239 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

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

Show the CMS file lines behind this rate
RVUs for G0239PPRRVU2026_Oct_nonQPP.csv, line 15,144 (RVU26D)
Geographic factors for North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

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