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S9472 Cardiac rehabilitation progr

S Codes

Also known as: cardiac rehab, heart rehabilitation program, cardiac exercise class

Cardiac rehabilitation program with supervised exercise, education, and counseling provided in an ambulatory setting for patients with cardiovascular disease.

In Plain Language

heart recovery program; heart exercise class; cardiac rehabilitation

Clinical Context

Prescribed after acute myocardial infarction, cardiac surgery, percutaneous coronary intervention, or for chronic heart failure and angina. Reduces mortality, improves function, and prevents recurrence.

RVU Information

CPT S9472 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.

Billing & Documentation

S-codes are used by private payers (not Medicare) for services without a standard CPT or HCPCS code. Coverage varies significantly between insurers. Verify payer acceptance before billing and document medical necessity thoroughly.

Specialties

CardiologyPhysical Medicine & RehabilitationInternal Medicine

Frequently Asked Questions

What is CPT code S9472?

CPT S9472 (Cardiac rehabilitation progr) is a S Codes code. Cardiac rehabilitation program with supervised exercise, education, and counseling provided in an ambulatory setting for patients with cardiovascular disease.

Is S9472 covered by insurance?

S9472 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Prescribed after acute myocardial infarction, cardiac surgery, percutaneous coronary intervention, or for chronic heart failure and angina. Reduces mortality, improves function, and prevents recurrence.

When is CPT S9472 used?

Prescribed after acute myocardial infarction, cardiac surgery, percutaneous coronary intervention, or for chronic heart failure and angina. Reduces mortality, improves function, and prevents recurrence.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.