# HCPCS G0237: Individual pulmonary rehabilitation, breathing retraining, per 15 minutes

Medicare HCPCS G0237 pays $12.69 in a non-facility setting and $12.69 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $10.79 in Arkansas to $14.93 in District of Columbia, a 38% spread.

Web page: https://www.med-reveal.com/rates/G0237-hcpcs-fee-schedule
Section: Rehabilitation and Therapy

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $12.69 |
| National facility | $12.69 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $14.93 | $14.93 |
| California | $14.80 | $14.80 |
| Washington | $14.36 | $14.36 |
| New Jersey | $14.27 | $14.27 |
| Hawaii | $14.24 | $14.24 |
| New York | $14.24 | $14.24 |
| Massachusetts | $14.17 | $14.17 |
| Connecticut | $13.71 | $13.71 |
| Colorado | $13.41 | $13.41 |
| Alaska | $13.35 | $13.35 |
| Oregon | $13.26 | $13.26 |
| Maryland | $13.24 | $13.24 |
| New Hampshire | $13.16 | $13.16 |
| Rhode Island | $13.06 | $13.06 |
| Florida | $13.05 | $13.05 |
| Minnesota | $12.82 | $12.82 |
| Puerto Rico | $12.82 | $12.82 |
| Virgin Islands | $12.82 | $12.82 |
| Montana | $12.69 | $12.69 |
| Nevada | $12.65 | $12.65 |
| Wyoming | $12.61 | $12.61 |
| Illinois | $12.58 | $12.58 |
| Delaware | $12.51 | $12.51 |
| North Dakota | $12.49 | $12.49 |
| Texas | $12.48 | $12.48 |
| South Dakota | $12.47 | $12.47 |
| Pennsylvania | $12.46 | $12.46 |
| Vermont | $12.40 | $12.40 |
| Virginia | $12.38 | $12.38 |
| Arizona | $12.26 | $12.26 |
| Georgia | $12.19 | $12.19 |
| Michigan | $12.08 | $12.08 |
| Maine | $12.02 | $12.02 |
| Wisconsin | $11.94 | $11.94 |
| Utah | $11.92 | $11.92 |
| North Carolina | $11.74 | $11.74 |
| New Mexico | $11.73 | $11.73 |
| South Carolina | $11.70 | $11.70 |
| Missouri | $11.67 | $11.67 |
| Louisiana | $11.64 | $11.64 |
| Indiana | $11.62 | $11.62 |
| Ohio | $11.62 | $11.62 |
| Idaho | $11.53 | $11.53 |
| Nebraska | $11.53 | $11.53 |
| Iowa | $11.44 | $11.44 |
| Tennessee | $11.41 | $11.41 |
| Kansas | $11.34 | $11.34 |
| Oklahoma | $11.30 | $11.30 |
| Kentucky | $11.29 | $11.29 |
| West Virginia | $11.22 | $11.22 |
| Alabama | $11.00 | $11.00 |
| Mississippi | $10.89 | $10.89 |
| Arkansas | $10.79 | $10.79 |

## Related codes

- 94625: Physical therapy for chronic lung disease, without continuous oximetry, per session — https://www.med-reveal.com/rates/94625-cpt-fee-schedule
- 94626: Physical therapy for chronic lung disease, with continuous oximetry, per session — https://www.med-reveal.com/rates/94626-cpt-fee-schedule
- G0238: Individual pulmonary rehabilitation exercises, per 15 minutes — https://www.med-reveal.com/rates/G0238-hcpcs-fee-schedule
- G0239: Group pulmonary rehabilitation exercises — https://www.med-reveal.com/rates/G0239-hcpcs-fee-schedule
- G0424: Pulmonary rehabilitation, including exercise, per session — https://www.med-reveal.com/rates/G0424-hcpcs-fee-schedule

Commercial negotiated rates for G0237 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules