Billing and Coding: Frequency and Duration for Cardiac Rehabilitation and Intensive Cardiac Rehabilitation
National · Effective Jan 1, 2025
1 active Medicare policy lists G0423, and 8 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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National · Effective Jan 1, 2025
8 policies from 7 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of G0423 |
|---|---|---|
| Cigna Commercial Other Services Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Policy | Effective | Status of G0423 |
|---|---|---|
| Cardiac Rehabilitation: Outpatient | Mar 11, 2024 | Covered |
| Policy | Effective | Status of G0423 |
|---|
| Outpatient Cardiac Rehabilitation | Not recorded | Covered |
|---|
| Policy | Effective | Status of G0423 |
|---|---|---|
| Cardiac Rehabilitation in the Outpatient Setting | Sep 15, 2026 | Covered |
| Policy | Effective | Status of G0423 |
|---|---|---|
| Cardiac Rehabilitation in the Outpatient Setting | Sep 15, 2026 | Covered |
| Policy | Effective | Status of G0423 |
|---|---|---|
| Cardiac Rehabilitation in the Outpatient Setting | Sep 15, 2026 | Covered |
| Policy | Effective | Status of G0423 |
|---|---|---|
| Cardiac Rehabilitation in the Outpatient Setting | Sep 15, 2026 | Covered |