cardiac rehabilitation referral criteria
Standardized clinical guidelines that determine patient eligibility for cardiac rehabilitation services based on diagnoses and medical history.
Full Definition
Cardiac rehabilitation referral criteria are evidence-based clinical guidelines established by organizations like the American Heart Association and Centers for Medicare & Medicaid Services that specify which cardiovascular conditions qualify patients for cardiac rehabilitation programs. These criteria typically include recent myocardial infarction, coronary artery bypass surgery, percutaneous coronary intervention, heart valve repair or replacement, heart transplantation, and stable angina. The criteria serve as documentation requirements for insurance coverage and ensure appropriate patient selection for rehabilitation services.
Usage
Usage note: Always capitalize when referring to specific published criteria; use lowercase for general concept.
In Context
- "The patient meets cardiac rehabilitation referral criteria following her recent stent placement." — clinical documentation
- "Documentation must clearly establish that the patient satisfies cardiac rehabilitation referral criteria for insurance approval." — authorization request