Qualifying ICD-9 Codes for IRF

[Guest guest]

Does anyone have or know of any resource, whether it be online or paper--based,

that has a list of the ICD-9 codes that qualify under the IRF 60% rule for the

13 diagnosis categories?

In other words, is there a list somewhere that provides ICD-9 codes for the 13

diagnostic categories that Medicare requires for IRFs?

Thanks!

Mark Dwyer, PT, MHA

Director of Rehabilitation Services

Olathe Medical Center

Olathe, Kansas

markdwyer87@...

[Guest guest]

*Mark,*

*

*

*Go to this link on the IRF PPS CMS website page.*

*

*

*http://www.cms.gov/InpatientRehabFacPPS/03_Criteria.asp#TopOfPage*

*

*

*Read this entire page, then a**lthough the link says 'top of page', ignore

that and go to the bottom of the page to find the file that says Oct, 1st,

2007 IRF Compliance Rule Specification files, it is a zip file. (These

were the last released. If you need rules for prior that is the third file

down under Downloads).*

*

*

*When you open that file you will find 'Determining IRF Compliance' as a

PDF, *

*you will then want to open Appendix B which provides you the ICD-9's that

are NOT presumptive as well as Appendix C which are ICD-9's and the

effective dates added. You can download those either as pdf's or excel

files.*

*

*

*Hope this helps!*

*

*Darlene L. D'Altorio-,PT.,MBA-HCM

Strategist, Rehabilitation Management

CORE Results Group

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>

>

> Does anyone have or know of any resource, whether it be online or

> paper--based, that has a list of the ICD-9 codes that qualify under the IRF

> 60% rule for the 13 diagnosis categories?

>

> In other words, is there a list somewhere that provides ICD-9 codes for the

> 13 diagnostic categories that Medicare requires for IRFs?

>

> Thanks!

>

> Mark Dwyer, PT, MHA

> Director of Rehabilitation Services

> Olathe Medical Center

> Olathe, Kansas

> markdwyer87@...

>

>

>

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