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Billing and Coding: Implantable Automatic Defibrillators

    https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56340
    The National Coverage Determination (NCD) 20.4, Implantable Automatic Defibrillators was revised with an effective date of February 15, 2018. The CMS A/B Medicare Administrative Contractors (MACs) have been instructed to implement the NCD …

NCD - Implantable Cardioverter Defibrillators (ICDs) (20.4)

    https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?NCDId=110
    11/2018 - This Change Request (CR) and Publication (Pub.) 100-03 Medicare NCD Manual reflects the Agency's final decision dated February 15, 2018, regarding the …

Billing and Coding: Implantable Automatic Defibrillators

    https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56391
    Under ICD-10 Codes that Support Medical Necessity, added ICD-10 I5A to Group 1 Codes. Changes effective 10/1/2021 for claims processed on or after 04/01/2021. …

Billing and Coding: Implantable Automatic Defibrillators

    https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56326&DocID=A56326
    ICD-10-CM Codes that Support Medical Necessity. Expand All | Collapse All. Group 1 (45 Codes) Group 1 Paragraph. ICD-10-CM codes I25.2, I25.5, I42.0, I42.6, …

Automatic Implantable Cardioverter Defibrillator (AICD)

    https://www.bcbsla.com/-/media/Medical%20Policies/2020/08/06/15/56/Automatic%20Implantable%20Cardioverter%20Defibrillator%20AICD%20Coding%203%2000008%2020191211_accessible%20pdf.pdf
    Automatic Implantable Cardioverter Defibrillator (AICD) Policy # 00008 Original Effective Date: 05/12/2003 ... • Medical necessity criteria and guidelines are …

Establish Medical Necessity for Implantable Cardioverter …

    https://www.aapc.com/blog/35901-establish-medical-necessity-for-implantable-cardioverter-defibrillators/
    Medical Necessity Indicatorsfor Non-primary ICD Placement. Non-primary (secondary prevention) indicators are listed as numbers 1-2 in NCD 20.4. These conditions/codes are indicators for secondary …

Implantable Automatic Defibrillator Coverage - Medicare

    https://www.medicare.gov/coverage/defibrillators
    Defibrillators. Medicare may cover an implantable automatic defibrillator if you’ve been diagnosed with heart failure. Medicare Part A (Hospital Insurance) pays if the surgery …

Automatic Implantable Cardioverter Defibrillators (AICD)

    https://www.unitypoint.org/waterloo/automatic-implantable-cardioverter-defibrillators-aicd.aspx
    An AICD is a device that monitors a person's heart rate. They are generally implanted into heart failure patients. The device is programmed to perform the following tasks: speed up …

Automatic Implantable Cardioverter Defibrillator …

    https://www.aapc.com/codes/webroot/upload/general_pages_docs/document/0000820131218AutomaticImplantableCardioverterDefibrillator(AICD)_12312.pdf
    Medical necessity criteria and guidelines are met. Based on review of available data, the Company may consider the use of an automatic implantable cardioverter ... (AICD) Policy …

NCD 20.4 Implantable Cardiac Defibrillators (ICDs)

    https://www.cms.gov/files/document/se20006.pdf
    and been on optimal medical therapy for at least 3 months. Additionally, patients must not have: • Had a CABG or PCI with angioplasty and/or stenting, within the …



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