Cardiology Coding Alert

News You Can Use:

Pacemakers May See Revised Coverage Indications

Take the opportunity to review the proposed decision.

CMS has posted a proposed decision memo for single-chamber and dual-chamber cardiac pacemakers.

The proposed covered indications both relate to symptomatic bradycardia:

  • Documented symptomatic bradycardia due to sinus node dysfunction
  • Documented symptomatic bradycardia due to second degree and/or third degree atrioventricular block.

To see the much longer list of non-covered indications, review the proposed decision at www.cms.gov/medicare-coverage-database/details/nca-proposed-decision-memo.aspx?NCAId=267.

Reminder: A proposed decision is not a final decision. Therefore, do not change any coding procedures/policies until the decision has been finalized. 

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