| 52092-4 | Alcohol-substance abuse rehabilitation treatment plan, Level of function Set |
| 52171-6 | Pulmonary therapy treatment plan, Level of function Set |
| 52204-5 | Cardiac rehabilitation treatment plan, Level of function Set |
| 52231-8 | Medical social services treatment plan, Level of function Set |
| 52255-7 | Occupational therapy treatment plan, Level of function Set |
| 52286-2 | Physical therapy treatment plan, Level of function Set |
| 52320-9 | Psychiatric rehabilitation treatment plan, Level of function Set |
| 52347-2 | Respiratory therapy treatment plan, Level of function Set |
| 52371-2 | Skilled nursing treatment plan, Level of function Set |
| 52398-5 | Speech therapy treatment plan, Level of function Set |