MLN Product (Revised); Conditions of Coverage for Outpatient Cardiac Rehabilitation Programs
This revised product comprises Subregulatory Guidance for Conditions of Coverage for Medicare Part B Outpatient Cardiac Rehabilitation Services and its content is based on publically available content within. https://www.ecfr.gov/cgi-bin/text-idx?SID=5f8913d44a02fc351f88ee4c4b763460&mc=true&node=se42.2.410_149&rgn=div8.
CMS subject matter experts also reviewed/cleared this product.
This product informs Medicare Part B physicians, providers, and suppliers of the conditions of coverage for Cardiac Rehabilitation (CR) and Intensive Cardiac Rehabilitation (ICR) programs.
CR is a physician-supervised program that furnishes physician prescribed exercise, cardiac risk factor modification, psychosocial assessment, and outcomes assessment. ICR is a physician-supervised program that furnishes CR and has shown, in peer-reviewed published research, that it improves patients' cardiovascular disease through specific outcome measurements.
Revisions to this product include the following content update:
• Extended inclusion of CR and ICR codes allowing physicians to supervise CR and ICR services virtually through the end of Calendar Year (CY) 2023 or the end of the Public Health Emergency (PHE) whichever is later (page 5).
The previous version of this product is available to the public and currently posted on the CMS website at:
https://www.cms.gov/files/document/overview-conditions-coverage-medicare-part-b-outpatient-cardiac-rehabilitation-services.pdf
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: May 04, 2022
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.