Map which Chapter 8 bases apply, then show the need is daily and can be met only in a SNF (the practical-matter test). This is what a coverage reviewer looks for on a Part A day.
Observation & assessment of an unstable condition
The early post-operative course carries a reasonable potential for infection, bleeding, VTE, and neurovascular compromise; detecting these requires daily nursing judgment.
Rehabilitation nursing; covered skilled procedure
Rehabilitation-nursing carryover of the therapy plan and incision/wound care are skilled services under Chapter 8; skilled therapy is documented in the therapy record.
