$12.82
Choose G0237 when the individual treatment targets respiratory-muscle strength or endurance. G0238 covers other individualized procedures intended to improve respiratory function.
On this page
CMS RVU26D · Effective 2026-10-01
G0238 Respiratory therapy Medicare reimbursement rates in Minnesota
Reports individualized, face-to-face respiratory therapy to improve respiratory function through procedures other than respiratory-muscle strength or endurance training. Compare G0238 office and facility rates across CMS payment localities in Minnesota.
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 G0238 in Minnesota?
Minnesota 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
$11.44
1 of 1 localities have a supported rate.
Payment area: Minnesota
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 G0238: Individual respiratory function therapy
Reports individualized, face-to-face respiratory therapy to improve respiratory function through procedures other than respiratory-muscle strength or endurance training.
G0238 represents individualized respiratory therapy intended to improve respiratory function through therapeutic procedures outside the respiratory-muscle strength or endurance work assigned to G0237. A respiratory therapist or other clinical staff member typically provides the face-to-face treatment in an outpatient respiratory-care or pulmonary rehabilitation setting. The service is delivered to one patient at a time, and monitoring is included.
Report the service in 15-minute units, supported by documentation of the procedures performed and the face-to-face treatment time. The record should distinguish the work from respiratory-muscle strength or endurance training and from a group session. CMS treats G0238 as an incident-to service: it may be billed only when performed under physician supervision. Its fee schedule relative-value profile assigns no physician work RVUs; practice expense and malpractice RVUs are included.
CMS billing rules for G0238
- 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) RVU0.33 · 97%
- Malpractice RVU0.01 · 3%
76.9K
Medicare services in 2024 · #643 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.
G0238 compared with similar codes
Office rates for Minnesota, from the same CMS release.
$14.53
G0238 is an individual service; G0239 describes respiratory procedures delivered in a group setting.
Compare G0238 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
Minnesota →
Office / nonfacility
$11.44
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 G0238 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
15,143
- Code
- G0238
- Physician work
- 0.00
- Practice expense
- 0.33
- Malpractice
- 0.01
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 0.33 | × 1.029 | 0.3396 |
| Malpractice | 0.01 | × 0.296 | 0.0030 |
| Total RVUs | 0.3425 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Minnesota$11.44
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 0.33 | 1.029 |
| Malpractice | 0.01 | 0.296 |
(0 × 1 + 0.33 × 1.029 + 0.01 × 0.296) × $33.4009 = $11.44
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.
G0238 billing questions
When should G0238 be selected instead of G0237?
Use G0238 for individualized respiratory therapy aimed at improving respiratory function through procedures other than respiratory-muscle strength or endurance training. G0237 describes that strength or endurance focus.
How does G0238 differ from G0239?
G0238 is provided to one patient at a time. G0239 is for respiratory procedures delivered to a group.
How are units reported?
The service is reported in 15-minute units. Document the face-to-face treatment time and the procedures performed to support the units billed.
Does the service include monitoring?
Yes. Monitoring is included in the G0238 service; it is not a separate G0238 unit.
What supervision is required for billing?
CMS identifies G0238 as an incident-to service. It may be billed only when performed under physician supervision.
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.
15,140G0235,26,Pet not otherwise specified,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
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
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002