CPCI-1223 - Sequence # 10116 Cardiac Rehabilitation Referral-1223 - Sequence # 10116 Cardiac Rehabilitation Referral

1223 - Sequence # 10116 Cardiac Rehabilitation Referral

Video Transcription

Video Summary

This video discusses sequence number 10116, which is about cardiac rehabilitation referral. The case scenario involves a patient who underwent successful PCI and met with an inpatient cardiac rehab nurse for education about cardiac rehab before discharge. The question is how to code the referral. The correct answer is number one, no reason documented. Although education was provided, there is no documentation of a referral order or a medical/healthcare system reason why the referral was not made or carried out. To code yes for the referral, there needs to be documented communication between the healthcare provider and the patient recommending and carrying out the referral order to an outpatient CR program, along with providing necessary information and enrollment details.

Keywords

emergency department

chest pain

difficulty breathing

ST elevation

heart failure

video

sequence number 10116

cardiac rehabilitation referral

referral coding

outpatient CR program