# HCPCS G0238: Individual pulmonary rehabilitation exercises, per 15 minutes

Medicare HCPCS G0238 pays $11.36 in a non-facility setting and $11.36 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $9.64 in Arkansas to $13.36 in District of Columbia, a 39% spread.

Web page: https://www.med-reveal.com/rates/G0238-hcpcs-fee-schedule
Section: Rehabilitation and Therapy

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $11.36 |
| National facility | $11.36 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $13.36 | $13.36 |
| California | $13.22 | $13.22 |
| Washington | $12.83 | $12.83 |
| New Jersey | $12.77 | $12.77 |
| New York | $12.75 | $12.75 |
| Hawaii | $12.73 | $12.73 |
| Massachusetts | $12.67 | $12.67 |
| Connecticut | $12.28 | $12.28 |
| Colorado | $11.99 | $11.99 |
| Alaska | $11.92 | $11.92 |
| Maryland | $11.85 | $11.85 |
| Oregon | $11.85 | $11.85 |
| New Hampshire | $11.77 | $11.77 |
| Florida | $11.71 | $11.71 |
| Rhode Island | $11.68 | $11.68 |
| Puerto Rico | $11.47 | $11.47 |
| Virgin Islands | $11.47 | $11.47 |
| Minnesota | $11.44 | $11.44 |
| Montana | $11.36 | $11.36 |
| Nevada | $11.31 | $11.31 |
| Illinois | $11.29 | $11.29 |
| Wyoming | $11.27 | $11.27 |
| Delaware | $11.19 | $11.19 |
| North Dakota | $11.16 | $11.16 |
| Texas | $11.16 | $11.16 |
| Pennsylvania | $11.15 | $11.15 |
| South Dakota | $11.13 | $11.13 |
| Vermont | $11.08 | $11.08 |
| Virginia | $11.07 | $11.07 |
| Arizona | $10.97 | $10.97 |
| Georgia | $10.92 | $10.92 |
| Michigan | $10.82 | $10.82 |
| Maine | $10.74 | $10.74 |
| Utah | $10.66 | $10.66 |
| Wisconsin | $10.66 | $10.66 |
| New Mexico | $10.51 | $10.51 |
| North Carolina | $10.50 | $10.50 |
| South Carolina | $10.47 | $10.47 |
| Missouri | $10.45 | $10.45 |
| Louisiana | $10.41 | $10.41 |
| Ohio | $10.40 | $10.40 |
| Indiana | $10.38 | $10.38 |
| Idaho | $10.30 | $10.30 |
| Nebraska | $10.30 | $10.30 |
| Iowa | $10.22 | $10.22 |
| Tennessee | $10.20 | $10.20 |
| Kansas | $10.13 | $10.13 |
| Kentucky | $10.10 | $10.10 |
| Oklahoma | $10.10 | $10.10 |
| West Virginia | $10.06 | $10.06 |
| Alabama | $9.83 | $9.83 |
| Mississippi | $9.74 | $9.74 |
| Arkansas | $9.64 | $9.64 |

## 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
- G0237: Individual pulmonary rehabilitation, breathing retraining, per 15 minutes — https://www.med-reveal.com/rates/G0237-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 G0238 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