Outpatient Cardiac Rehabilitation - R3 and R4

The following Noridian coverage requirements for the Cardiac Rehabilitation Programs for Chronic Heart Failure National Coverage Determination (NCD) has been published under contract numbers 01111 (CA), 01211 (AS, GU, HI, NMI), 01311 (NV) and 01911 (CA, HI & Territories).

NCD: Cardiac Rehabilitation Programs for Chronic Heart Failure 20.10.1
Summary of Changes:

  • Corrected hyperlink to Transmittal 1798, CR9982
  • Added the following ICD-10-CM codes effective May 26, 2017
    • I21.21 - ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery
    • I22.2 - Subsequent non-ST elevation (NSTEMI) myocardial infarction
    • I22.9 - Subsequent ST elevation (STEMI) myocardial infarction of unspecified site
    • Z98.890 - Other specified postprocedural states
  • Added the following ICD-10-CM codes effective February 09, 2018
    • I50.812 - Chronic right heart failure
    • I50.814 - Right heart failure due to left heart failure
    • I50.82 - Biventricular heart failure
    • I50.83 - High output heart failure
    • I50.84 - End stage heart failure
    • I50.89 - Other heart failure

Effective Date: Multiple

View the locally hosted National Coverage Determination (NCD) coverage requirement articles.  

  • Go to Noridian National Coverage Determination (NCD) webpage
    • The End User Agreement for Providers will appear if you have not recently visited the website. Select "Accept" (if necessary)
  • Locate locally hosted NCD coverage article
  • Select title of interest

View a complete list of CMS NCDs.

Last Updated Apr 04, 2019