Pre-operative clearance (RCRI + METs)
PCP-to-surgeon pre-operative clearance letter using the Lee Revised Cardiac Risk Index (RCRI) and functional capacity (METs) per ACC/AHA guideline.
What this form is
Pre-op clearance letters are the formal communication from a primary care or specialty clinician to the surgical team confirming the patient's fitness for a specific planned procedure. The ACC/AHA Perioperative Guideline frames this assessment using RCRI (Revised Cardiac Risk Index) and functional capacity in METs, with additional risk stratification for specific comorbidities.
Common pitfalls
- Generic 'cleared for surgery' vs specific risk stratification
- Missing RCRI calculation
- Missing functional capacity assessment
- Failure to address anticoagulant/antiplatelet management
What ApprovalHelp drafts
We draft the clearance letter with the planned procedure named, the RCRI calculation, functional capacity (METs), specific perioperative risk factors, anticoagulant/diabetes/respiratory management recommendations, and the clearance determination.
Frequently asked questions
What is the Pre-operative clearance (RCRI + METs)?
Pre-op clearance letters are the formal communication from a primary care or specialty clinician to the surgical team confirming the patient's fitness for a specific planned procedure. The ACC/AHA Perioperative Guideline frames this assessment using RCRI (Revised Cardiac Risk Index) and functional capacity in METs, with additional risk stratification for specific comorbidities.
Why is it legally sensitive?
By ticking this box you confirm clinical responsibility for the contents of this letter as the prescribing or treating clinician. The supplied content is a draft for your review; nothing is sent or relied on until you sign.
What are the common pitfalls?
Generic 'cleared for surgery' vs specific risk stratification. Missing RCRI calculation. Missing functional capacity assessment. Failure to address anticoagulant/antiplatelet management
What does DenialHelp draft?
We draft the clearance letter with the planned procedure named, the RCRI calculation, functional capacity (METs), specific perioperative risk factors, anticoagulant/diabetes/respiratory management recommendations, and the clearance determination.
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ApprovalHelp drafts the Pre-operative clearance (RCRI + METs) for clinicians from chart facts. The clinician reviews, edits, and signs.
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