NCDActive
The Pritikin Program
NCD340
Effective: August 12, 2010
Updated: December 31, 2025
Policy Summary
The Pritikin Program is covered as an Intensive Cardiac Rehabilitation program only when the specific program appears on the CMS list of Medicare‑approved ICR programs for claims dated on or after August 12, 2010. Any ICR program not on the CMS-approved list is non‑covered; the policy describes the program as a 21–26 day physician‑office based program with an optional residential component but does not itself specify additional documentation or frequency limits beyond CMS listing and claim date requirements.
Coverage Criteria Preview
Key requirements from the full policy
"The Pritikin Program is covered as an Intensive Cardiac Rehabilitation (ICR) program for claims with dates of service on or after 2010-08-12 when the specific program is included on the CMS list of..."
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