Postural Drainage Procedures and Pulmonary Exercises

Postural drainage procedures and pulmonary exercises are covered when the attending physician documents in the plan of treatment that therapist-level skills are required and the services are furnished by a physical therapist or respiratory therapist in the appropriate covered setting. Physical therapy coverage includes inpatient, extended care, home health, and outpatient physical therapy settings; respiratory therapy is covered in inpatient, outpatient hospital, or extended care/SNF settings only when furnished via a hospital with a transfer agreement, and respiratory therapist visits are not payable under the home health benefit.

"If the attending physician determines in the plan of treatment that postural drainage procedures or pulmonary exercises require the skills of a physical therapist, those services are covered as phy..."

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