Date Posted: June 11, 2026

This Billing and Coding article has been revised and published for notice under contract numbers: 02102 (AK), 02202 (ID), 02302 (OR), 02402 (WA), 03102 (AZ), 03202 (MT), 03302 (ND), 03402 (SD), 03502 (UT), and 03602 (WY).

Effective Date: January 1, 2026

Summary of Article Changes:

Added the following statement under Article Text Section:

For Type of Bill (TOB) 018X, Respiratory care is included in Payment Driven Payment Model (PDPM); Exception allows CAH to be paid separately.

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