The following Noridian coverage requirements for the Billing and Coding Outpatient Cardiac Rehabilitation National Coverage Determination (NCD) have been revised and published for notice under contract numbers: 01111 (CA), 01211 (AS, GU, HI, NMI), 01311 (NV), and 01911 (CA, HI & Territories).

NCD: Outpatient Cardiac Rehabilitation 20.10.1
Effective Date: January 1, 2022
Summary of Changes: Outpatient Rehabilitation CPT® codes 93797 & 93798 were assigned as category 3 codes on the Physician Fee Schedule List of Telehealth Services CY 2022 effective January 1, 2022, until December 31, 2023, per CR 12549. Also added billing instructions for telehealth services.

Visit the National Coverage Determination (NCD) webpage to view the NCD coverage articles.