Medicare qualifying medical conditions for inpatient rehabilitation facility

Stroke

Spinal cord injury

Congenital deformity

Amputation

Major multiple trauma

Femur fracture (hip fracture)

Brain injury

Neurologic disorders (including multiple sclerosis, muscular dystrophy, Parkinson disease)

Burns

Active polyarticular rheumatoid/psoriatic arthritis and seronegative arthritides, with qualifiers

Systemic vasculitides with joint inflammation, with qualifiers

Severe or advanced osteoarthritis involving 2 or more major weightbearing joints, with qualifiers

Hip or knee joint replacement, or both, with qualifiers

Source: CMS Manual System. Pub. 100-04, Medicare Claims Processing, Transmittal 347. Department of Health and Human Services, Centers for Medicare and Medicaid Services 2005. Available at: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R347CP.pdf (Accessed September 11, 2012).

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