Billing and Coding: Artificial Hearts and Percutaneous Endovascular Cardiac Assist Procedures and Devices (A52966) - R13 - Effective October 1, 2022

This coverage article has been revised and published for notice under contract numbers: 01112 (NCA), 01182 (SCA), 01212 (HI and Territories), and 01312 (NV).

Effective Date: October 1, 2022

Summary of Article Changes: Asterisked ICD-10 codes I50.21, I50.23, I50.31, I50.33, I50.41, I50.43, added the asterisked codes I50.1, I50.20, I50.22, I50.30, I50.32, I50.40, I50.42, I50.84, I50.9, I51.4, and I51.9 in Group 1 and added the statement "All the asterisked diagnosis codes listed in Group 1 will only be payable when billed with ICD-10-PCS Code 02WA4QZ - Revision of Implantable Heart Assist System in Heart, Percutaneous Endoscopic Approach in the hospital setting effective DOS 04/01/2022" to the Group1 Medical Necessity ICD-10-CM Codes Asterisk Explanation section.

Deleted ICD-10 codes I50.811 and I50.813 because Noridian does not cover ventricular assist devices for right heart failure at this time.

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Last Updated Oct 04 , 2022