Postural Drainage Procedures and Pulmonary Exercises

CMS National Coverage Determination | ncd_id=17 | manual_section=240.7 | coverage_level_code=2 | national_coverage_type=True | under_review=False | lab_ncd=False

In most cases, postural drainage procedures and pulmonary exercises can be carried out safely and effectively by nursing personnel. However, in some cases patients may have acute or severe pulmonary conditions involving complex situations in which these procedures or exercises require the knowledge and skills of a physical therapist or a respiratory therapist. Therefore, if the attending physician determines as part of his/her plan of treatment that for the safe and effective administration of such services the procedures or exercises in question need to be performed by a physical therapist, the services of such a therapist constitute covered physical therapy when provided as an inpatient hospital service, extended care service, home health service, or outpatient physical therapy service. NOTE: Physical therapy furnished in the outpatient department of a hospital is covered under the outpatient physical therapy benefit. If the attending physician determines that the services should be performed by a respiratory therapist, the services of such a therapist constitute covered respiratory therapy when provided as an inpatient hospital service, outpatient hospital service, or extended care service, assuming that such services are furnished to the skilled nursing facility by a hospital with which the facility has a transfer agreement. Since the services of a respiratory therapist are not covered under the home health benefit, payment may not be made under the home health benefit for visits by a respiratory therapist to a patient's home to provide such services. Postural drainage procedures and pulmonary exercises are also covered when furnished by a physical therapist or a respiratory therapist as incident to a physician's professional service.

Cross Reference: See the Medicare Benefit Policy Manual , Chapter 6 §20, Chapter 7 §20, Chapter 8 §50, and Chapter 15 §60.2. Revision History: 09/1988 - Revised section to substitute terms "respiratory therapy" and "respiratory therapist" for "inhalation therapy" and "inhalation therapist." Effective date NA. (TN 32) Benefit Categories: 25 - Extended Care Services; 30 - Home Health Services; 33 - Incident to a physician's professional Service; 35 - Inpatient Hospital Services; 48 - Outpatient Physical Therapy Services Transmittal: transmittal_number=32 | transmittal_issue_date=1988-09-01