Which patient characteristic is NOT considered by CMS for hip and knee replacement admissions to an IRF?

The characteristic that is not considered by the Centers for Medicare & Medicaid Services (CMS) for hip and knee replacement admissions to an Inpatient Rehabilitation Facility (IRF) is being age 75 or younger at the time of admission.

CMS criteria focus on specific clinical factors that influence the complexity and rehabilitation needs of the patient rather than strictly their age. While patient age can impact recovery and rehabilitation, it is typically the physical condition, mobility limitations, and comorbidities that are assessed. For instance, factors such as a patient's BMI, the need for bilateral knee or hip replacements, and advanced age (such as 85 and older) are more relevant and indicative of the level of care and rehabilitation services required, which is why they are considered in the admissions process.

This allows CMS to prioritize patients who may have more significant rehabilitation needs due to their medical and functional status, ensuring that those who will benefit the most from intensive rehabilitation services are appropriately admitted to an IRF.