Cardiology Coding Alert
Medicare Posts New Pacemaker Decision Memo
Question: Has there been any update on Medicare’s proposed pacemaker coverage for symptomatic bradycardia?
Answer: In line with its proposed decision memo, Medicare has decided “the following indications are covered for implanted permanent single chamber or dual chamber cardiac pacemakers”:
· “Documented non-reversible symptomatic bradycardia due to sinus node dysfunction”
· “Documented non-reversible symptomatic bradycardia due to second degree and/or third degree atrioventricular block.”
As stated above, the indications include that the bradycardia is symptomatic. “Symptoms of bradycardia are symptoms that can be directly attributable to a heart rate less than 60 beats per minute (for example: syncope, seizures, congestive heart failure, dizziness, or confusion),” the decision memo states.
You can read the decision memo online at .
Pennsylvania Subscriber
Cardiology Coding Alert
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