1. Definition

Respiratory therapy (respiratory care) services are prescribed by a physician for the assessment, diagnostic evaluation, treatment, management, and monitoring of patients with deficiencies and abnormalities of cardiopulmonary function.

Respiratory therapy services include but are not limited to:

a. The application of techniques for support of oxygenation and ventilation in the acutely ill patient. These techniques include, but are not limited to: 1. establishment and maintenance of artificial airways: 2. ventilator therapy and other means of airway pressure manipulation; 3. precise delivery of oxygen concentration; and 4. techniques to aid removal of secretions from the pulmonary tree.

b. The therapeutic use and monitoring of medical gases (especially oxygen), bland and pharmacologically active mists and aerosols and such equipment as resuscitators and ventilators;

c. Bronchial hygiene therapy, including deep breathing and coughing exercises, IPPB, postural drainage, chest percussion and vibration, and nasotracheal suctioning;

d. Diagnostic tests for evaluation by a physician, e.g., pulmonary function tests, spirometry, and blood gas analyses;

e. Pulmonary rehabilitation techniques which include: 1. exercise conditioning; 2. breathing retraining; and 3. patient education regarding the management of the patient's respiratory problems; and

f. Periodic assessment and monitoring of the acute and chronically ill patients for indications for, and the effectiveness of, respiratory therapy services.

Such services are performed by respiratory therapists or technicians, physical therapists, nurses and other qualified personnel.