Medicare Payment Guide for Respiratory Therapy/Cardiopulmonary Services

What are the current payment rates for EKGs, stress tests, sleep studies and all the other RT/cardiopulmonary procedures performed in your facility? Quickly find the answers you need right here!

Price range: $169.00 through $175.00

Medicare Payment Guide for Respiratory Therapy/Cardiopulmonary Services

Price range: $169.00 through $175.00

Quick, practical, and convenient access to current and complete payment information.

In the fast-paced world of healthcare, we understand that your time is precious. That's why we have designed this comprehensive guide to provide you with quick, practical, and convenient access to the most up-to-date Medicare payment information. Say goodbye to the hassle of searching through multiple Medicare files - with this guide, you'll find everything you need in one place.

Here's what makes our guide the ultimate resource for respiratory therapy and cardiopulmonary services:

Targeted Streamlined Efficiency for Effective Payment Outcomes:
  • Instantly access current Medicare payment information for a wide range of services, including EKGs, stress tests, EEGs, and more.
  • Eliminate the inconvenience of dissecting APC and payment information across various sources.
  • Ensure full appropriate reimbursement while adhering to regulatory requirements.

Features and Benefits

Stay Up-to-Date:
  • Regularly updated with the latest information, including codes for outpatient pulmonary rehab and remote therapeutic monitoring (RTM).
  • Covers all RT-specific HCPCS code changes and NCCI updates.
  • Keeps you informed about payment changes with the most current conversion factors.
  • Provides updated status indicators to aid your decision-making.
Efficient Reference for Busy Professionals:
  • Access Medicare payment information for all services performed in your RT/pulmonary function, cardiopulmonary, and sleep study departments.
  • Conveniently divided into two main sections:
    1. APCs for typical procedures
    2. CPT®/HCPCS codes included in the APCs, with current payment rates and status indicators.
  • At-a-glance tables with crosswalks allow you to compare prior year payment rates to the current rates, providing instant insight into changes.
  • Key to status indicators at the bottom of every other page helps you navigate Medicare payment policies effortlessly.

Don't let the challenges of everyday operations hinder your efficiency. Invest in our Medicare Payment Guide for Respiratory Therapy/Cardiopulmonary Services today and experience the convenience and ease of accessing comprehensive payment information at your fingertips.

You don’t have time for the inconvenience and hassle of searching through multiple Medicare files to dissect APC and payment information. In one resource, you’ll find the detail you need — payment information and ambulatory payment classifications (APCs) — to determine whether you’re receiving the full appropriate reimbursement, while complying with regulatory requirements. Pre-Order Now!

This is the perfect companion to our Coding Essentials for RT/Pulmonary Function book!

Looking for more valuable coding education and news?  Check out our Respiratory Therapy All-Access Pass.


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Introduction
The Hospital Outpatient Prospective Payment System
2026 Update
  • Payment Changes
  • Site Neutral Payment Policies for Clinic Visits
  • Expanded to Include Drug Administration
  • “Conditional Packaging” Summarized
  • Physician Supervision Requirements Outlined Past to Present
  • Telehealth Policies Revised
CPT/HCPCS Changes
  • Algorithm-Based Electrocardiogram (ECG)
  • All Night Electroencephalogram (EEG) Recording
  • Bronchoscopy Procedures
  • Hyperbaric Oxygen Therapy (HBOT)
  • Hypoxia Response Curve
  • Noninvasive Blood Oxygenation Assessment
  • Patient Recorded Spirometry
  • Pulmonary Rehabilitation (PR)
  • Remote Therapeutic Monitoring (RTM)
  • Respiratory Therapy Rehabilitation (RTR)
  • Smoking/Tobacco Use Cessation Counseling
  • Sub-Scalp Continuous Bilateral
  • Electroencephalogram (EEG) Analysis
  • Ventilator Management
Parts of This Manual
  • Part 1: APCs for Typical Procedures
  • Part 2: CPT/HCPCS Codes Included in APCs
Payment Status Indicators
Base vs. Actual Payment
Additional APC Information
PART 1: APCs for Typical Procedures
  • Tracheotomy Intubation
  • Blood Sample
  • Blood Gas Studies
  • CPR
  • EKGs, Stress Tests, and Rhythm Strips
  • Pulmonary Function/RT
  • Sleep Studies/EEG
  • Physical Medicine and Rehabilitation
  • Remote Monitoring
  • Hyperbaric Oxygen Therapy
  • Smoking Cessation
  • Hospital OPPS Rates Under APCs: 2026 vs 2025
PART 2: CPT/HCPCS Codes Included in APCs
Product SKU PAPCRT
Product Categories Books
Specialties and Topics Respiratory Therapy

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