2. Coverage criteria

To qualify for reimbursement under Medicare, such therapy must qualify as a covered service and must be reasonable and necessary for the diagnosis or treatment of an illness or injury. To be considered reasonable and necessary, respiratory therapy services furnished to a beneficiary must be:

a Consistent with the nature and severity of the individual's symptoms and diagnosis.

b Reasonable in terms of modality, amount, frequency and duration of the treatment.

c Generally accepted by the professional community as being safe and effective treatment for the purpose used.