Medicare Acceptable Inpatient Rehabilitation Diagnoses

The currently accepted Medicare diagnoses for inclusion in the required percentages are:

• Stroke
• Spinal cord injury
• Congenital deformity
• Amputation
• Major multiple trauma
• Fracture of femur (hip fracture)
• Brain injury
• Neurological disorders, including multiple sclerosis, motor neuron diseases, polyneuropathy, muscular dystrophy, and Parkinson's disease
• Burns
• Active, polyarticular rheumatoid arthritis, psoriatic arthritis, and seronegative arthropathies resulting in significant functional impairment of ambulation and other activities of daily living.
• Systemic vasculidities with joint inflammation, resulting in significant functional impairment of ambulation and other
• activities of daily living.
• Knee or hip joint replacement, or both, during an acute hospitalization immediately preceding the inpatient rehabilitation stay and also meet one or more of the following specific criteria:
  • Bilateral knee or bilateral hip joint replacements
  • BMI of 50+
  • Age of 85+

Have questions? Call 606.783.6653 to speak with our intake specialist.