Cardiac Rehabilitation or Rehab
Cardiac rehabilitation or cardiac rehab is a branch of rehabilitation medicine/physical therapy dealing with optimizing physical function in patients with cardiac disease or recent cardiac surgeries. Listed here are the applicable HCPCS codes:
- 9379 7 – Doctor solutions for inpatient cardiac rehabilitation, without constant ECG monitoring
- 9379 8 – Doctor solutions for inpatient cardiac rehabilitation, with continuous ECG monitoring
Effective for dates of service dates from January 1, 2008 and before January 1, 2010, suppliers and professionals might report a unit of Procedure code 9379 7 or 9739 8 for a date of service if one or more cardiac rehabilitation session lasting a minimum of one hour every day is provided on the same day.
As an example, if the cardiac rehab solutions provided on a given day total one hour and 50 minutes, then just one session ought to be billed to report the coronary rehab services provided on that day.
Cardiac Rehabilitation Program Services Furnished On or After January 1, 2010 – As stated at 42 CFR 410.49, Medicare covers cardiac rehab items and services for patients who’ve undergone several of the following: An acute myocardial infarction within the previous twelve months, or A coronary artery bypass operation, or Current stable angina pectoris, or Heart valve replacement or repair, or Percutaneous transluminal coronary angioplasty or coronary stenting, or A heart or heart lung transplant, or Stable, chronic heart failure defined as patients with left ventricular ejection fraction of 35% or less and NY Heart Association class II to IV symptoms despite being on optimum heart failure treatment for at least 6 weeks.
Cardiac rehabilitation programs should include the following components: Doctor prescribed exercise every Day cardiac rehabilitation items and services are supplied, – Cardiac risk factor modification, including education, counselling, and behavioural intervention at least once throughout program, tailored to patients’ individual needs, – Psychosocial evaluation, – Outcomes evaluation, and – a personalized treatment plan detailing how components will be utilized for every patient.
Cardiac rehab items and solutions must be furnished in a medical clinic or a hospital outpatient setting. All settings must have a doctor instantly available and accessible to medical consultations and emergencies at all times items and solutions are being furnished under the program.
This provision is fulfilled if the doctor Meets precisely the requirements for precisely the direct supervision of doctor’s office services as stated at 42 CFR 410.26 and for hospital inpatient therapeutic services.
Cardiac rehab by nationwide LCD is covered for just six groups of patients:
- Patients who start the program within twelve months of an acute Myocardial Infarction.
- Patients who’ve had Coronary Artery Bypass Graft surgery.
- Patients with stable angina pectoris.
- Patients who have had heart valve repair/replacement.
- Patients who’ve had Percutaneous Transluminal Coronary Angioplasty or coronary stenting.
- Patients who’ve had a heart or heart lung transplant. Cardiac rehabilitation programs can be provided either by the inpatient department of a hospital or a doctor directed clinic.