Policy Revision for Respiratory Care (Respiratory Therapy) Local Coverage Determination and Associated Billing and Coding Respiratory Care (Respiratory Therapy) Local Coverage Article - R10 - Effective January 01, 2022

The following Local Coverage Determinations (LCD) and associated Billing and Coding Article (LCA) have been revised under contract numbers: 01112 (NCA), 01182 (SCA), 01212 (AS, GU, HI, and NMI), and 01312 (NV).

Medicare Coverage Database NumberLCD Title and Revision Number
L34149Respiratory Care (Respiratory Therapy)


Medicare Coverage Database NumberBilling and Coding Article Title and Revision Number
A57224Billing and Coding: Respiratory Care (Respiratory Therapy)


Effective Date: January 01, 2022
Summary of Changes: The following updates were made to the Billing and Coding Respiratory Care (Respiratory Therapy) LCA. No updates to the LCD were made.

  • Added M35.89 - Other specified systemic involvement of connective tissue to the Group 1 list of DX codes effective 01/01/2021. Adding this DX code was missed with the additional 2021 ICD-10 updates done in Revision History #6.
  • Deleted procedure codes 94625 and 94626 as these codes were added in error since this policy only addresses components of the Pulmonary Rehab Program as outlined in 42 CFR 410.47.

Visit the Active LCDs Noridian webpage or Noridian Medicare Coverage Articles webpages to view the locally hosted document or access it via the CMS MCD.

            Last Updated Thu, 13 Jan 2022 15:12:29 +0000