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Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session)

CPT4 code

Name of the Procedure:

Physician or Other Qualified Health Care Professional Services for Outpatient Cardiac Rehabilitation; with Continuous ECG Monitoring (per session)

  • Common name: Outpatient Cardiac Rehab with ECG Monitoring


Outpatient cardiac rehabilitation with continuous ECG monitoring involves supervised exercise, education, and counseling for individuals recovering from heart-related conditions, with continuous heart rate and rhythm monitoring to ensure safety.


  • Addresses: Recovery from heart attacks, heart surgery, or other cardiac conditions.
  • Goals: Improve cardiovascular fitness, reduce cardiac symptoms, and decrease the risk of future heart issues.


  • Symptomatic heart conditions such as heart attack, coronary artery disease, or heart failure.
  • Recent heart surgeries (e.g., bypass surgery, angioplasty).
  • Patients with chronic heart conditions needing monitored exercise.


  • Pre-procedure instructions: Wear comfortable clothing and non-slip shoes.
  • Diagnostic tests: Baseline ECG, stress test, and possibly blood tests to evaluate heart function.

Procedure Description

  • Step-by-step:
    1. Arrive at the outpatient clinic.
    2. Change into appropriate attire.
    3. Hook up to continuous ECG monitoring equipment.
    4. Participate in a structured exercise program (e.g., treadmill, stationary bike).
    5. Receive education and counseling on heart-healthy living.
    6. Cool down period followed by re-evaluation of vital signs.
  • Technology: Continuous ECG monitoring devices.
  • Anesthesia/Sedation: Not applicable.


  • Typically takes 1-1.5 hours per session.


  • Performed in an outpatient clinic or cardiac rehab center.


  • Healthcare professionals involved: Physicians, cardiac rehab nurses, exercise physiologists, and sometimes dietitians.

Risks and Complications

  • Common risks: Mild fatigue or muscle soreness.
  • Rare risks: Abnormal heart rhythms, heart attack, or other cardiac events. These are managed on-site with immediate medical intervention.


  • Expected benefits: Improved cardiovascular health, increased physical endurance, reduced cardiac symptoms.
  • Timeline: Benefits can often be seen within weeks of consistent participation.


  • Post-procedure care: Continue prescribed medications, follow a heart-healthy diet, and adhere to the rehab plan.
  • Expected recovery time: Varies per individual, but many see improvement within the first few weeks.
  • Follow-up: Regular follow-up appointments with the healthcare provider.


  • Other options: Home-based exercise programs, medications, lifestyle modifications without formal rehab.
  • Pros and cons: Home programs offer flexibility but lack supervision; medications and lifestyle changes are essential but may not offer the same structured support and monitoring.

Patient Experience

  • During procedure: Patients typically feel supported and safe owing to continuous monitoring. Some may feel mild fatigue or discomfort from exercise.
  • After procedure: Generally, patients feel a sense of improvement and accomplishment. Pain management is usually not necessary, but staying hydrated and rest post-session help in comfort.

Medical Policies and Guidelines for Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session)

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