Repetitive Services - JE Part A
Services repeated over a span of time and billed with the following revenue codes are defined as repetitive services. Repetitive services are required to be billed monthly or at the end of treatment. Any items and/ or services in support of the repetitive service should be reported on the same claim (example: disposable supplies, drugs or equipment used to furnish the repetitive service).
|Type of Service||Revenue Code(s)|
|DME Rental||0290 - 0299|
|Respiratory Therapy||0410, 0412, 0419|
|Physical Therapy||0420 - 0429|
|Occupational Therapy||0430 - 0439|
|Speech-Language Pathology||0440 - 0449|
|Skilled Nursing||0550 - 0559|
|Cardiac Rehab Services||0482, 0943|
|Kidney Dialysis Treatments||0820 - 0859|
|Pulmonary Rehabilitation Services||948|
Report occurrence span code 74 on the monthly repetitive service bill to encompass any inpatient stay dates, day of outpatient surgery, or outpatient hospital services subject to OPPS.
If a non-repetitive OPPS service is provided on the same date of a repetitive service, report the non- repetitive OPPS service (along with any packaged and/or services related to the non-repetitive service) on a separate OPPS claim.
- CMS Internet Only Manual (IOM), Publication 100-04, Medicare Claims Processing Manual, Chapter 1, Section 50.2.2
Last Updated Mon, 16 Jan 2023 20:53:08 +0000