Corporate Compliance

Cardiac rehabilitation and stent placement

Compliance Monitor, December 30, 2005

 Q: If a patient had an initial diagnosis of unstable angina before stent placement, will the patient be eligible for cardiac rehabilitation after the procedure?

A:Unstable angina is not a covered diagnosis for cardiac rehabilitation services. The patient's diagnosis before the stent placement should meet coverage criteria. Source: Administar Federal Local Medical Review Policy, "Cardiac Rehabilitation Programs." Published in HCPro's book Outpatient Cardiac Rehab: Tools and Best Practices for Reimbursement and Compliance.

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