$11.44
Choose G0237 for individual treatment directed at respiratory muscle strength or endurance. G0239 reflects respiratory therapeutic treatment delivered to a group.
On this page
CMS RVU26D · Effective 2026-10-01
G0239 Respiratory therapy Medicare reimbursement rates in Iowa
Report G0239 for timed respiratory therapeutic procedures delivered to two or more patients together, rather than as individual one-to-one treatment. Compare G0239 office and facility rates across CMS payment localities in Iowa.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for G0239 in Iowa?
Iowa has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$12.97
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Respiratory therapy
About G0239: Group respiratory therapeutic procedure
Report G0239 for timed respiratory therapeutic procedures delivered to two or more patients together, rather than as individual one-to-one treatment.
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.
CMS billing rules for G0239
- Professional and technical components
- Incident-to service: billed only when performed under physician supervision.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU0.42 · 98%
- Malpractice RVU0.01 · 2%
8.6K
Medicare services in 2024 · #1559 by national volume
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.
G0239 compared with similar codes
Office rates for Iowa, from the same CMS release.
$10.22
G0238 is performed one-on-one; G0239 is performed with at least two patients together. The group format is the key distinction.
Compare G0239 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Iowa →
Office / nonfacility
$12.97
Facility
Unavailable
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for G0239 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
15,144
- Code
- G0239
- Physician work
- 0.00
- Practice expense
- 0.42
- Malpractice
- 0.01
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 0.42 | × 0.915 | 0.3843 |
| Malpractice | 0.01 | × 0.397 | 0.0040 |
| Total RVUs | 0.3883 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$12.97
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 0.42 | 0.915 |
| Malpractice | 0.01 | 0.397 |
(0 × 1 + 0.42 × 0.915 + 0.01 × 0.397) × $33.4009 = $12.97
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
15,141G0235,TC,Pet not otherwise specified,N,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,01,0,99,0.00,0.00,0.00
15,142G0237,,Therapeutic procd strg endur,A,,0.00,0.37,,0.37,NA,0.01,0.38,0.38,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,143G0238,,"Oth resp proc, indiv",A,,0.00,0.33,,0.33,NA,0.01,0.34,0.34,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,144G0239,,"Oth resp proc, group",A,,0.00,0.42,,0.42,NA,0.01,0.43,0.43,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,145G0245,,Initial foot exam pt lops,R,,0.86,1.06,,0.14,,0.04,1.96,1.04,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,146G0246,,Followup eval of foot pt lop,R,,0.44,0.70,,0.06,,0.02,1.16,0.52,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,147G0247,,Routine footcare pt w lops,R,,0.49,1.91,,0.06,,0.02,2.42,0.57,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136