Intensive Cardiac Rehabilitation (ICR)

10.2.2.5 – Intensive Cardiac Rehabilitation (ICR) (Rev. 13355; Issued: 08-13-25; Effective: 05-05-25; Implementation: 05-05-25) ICR suppliers are a supplier type that enrolls via the Form CMS-855B. A. Background Under 42 CFR § 410.49(a), an intensive cardiac rehabilitation (ICR) program is defined as a physician or non-physician practitioner-supervised program that furnishes cardiac rehabilitation and has shown, in peer-reviewed published research, that it improves patients' cardiovascular disease through specific outcome measurements described in § 410.49(c). (Nonphysician practitioners are eligible to supervise an ICR effective January 1, 2024.) ICR programs must be approved by CMS through the national coverage determination (NCD) process and must meet certain criteria for approval. Individual sites seeking to provide ICR services via an approved ICR program must enroll with their local Medicare contractor as an ICR program supplier. B. ICR Enrollment To enroll as an ICR site, a supplier must complete a Form CMS-855B with the supplier type of “Intensive Cardiac Rehabilitation” selected. The contractor shall verify that CMS has approved the ICR program through the NCD process. A list of approved ICR programs will be identified through the NCD listings, the CMS Web site, and the Federal Register. The contractor shall use one of these options to verify that the ICR program has met CMS approval. An ICR supplier must separately and individually enroll each of its practice locations. The supplier can therefore only have one practice location (which shall receive its own Provider Transaction Access Number (PTAN)) on its Form CMS-855B enrollment application. The contractor shall use specialty code 31 for these enrollments. The contractor may accept and process reassignments to ICRs from physicians and nonphysicians who are otherwise authorized to reassign benefits under existing law and policy. It is important that the contractor review and adhere to the following regulations and instructions regarding the required qualifications of ICR suppliers: • 42 CFR § 410.49 • Pub. 100-04, chapter 32, sections 140.2.2 - 140.2.2.6 • Pub. 100-02, chapter 15, section 232