Billing and Coding Implantable Automatic Defibrillators - R3 - Effective October 1, 2021

The coverage requirements for the Billing and Coding Implantable Automatic Defibrillators National Coverage Determination (NCD) have been revised and published under contract numbers: 01112 (NCA), 01182 (SCA), 01212 (HI and Territories), and 01312 (NV).

NCD: Implantable Automatic Defibrillators 20.4

Effective Date: October 1, 2021

Summary of Article Changes: Added diagnosis code I5A - Non-ischemic myocardial injury (non-traumatic) to number 1 of the Nationally Covered Indications in the Article Text and the Group 1 ICD-10 diagnosis codes effective 10/01/2021 per CR12480.

Also, the end date for ICD-10-PCS code 02PAXMZ is 09/30/2021 instead of 10/31/2021 stated in the Article Revision History number 2.

Visit the National Coverage Determination (NCD) webpage to view the NCD coverage articles.


            Last Updated Mon, 29 Nov 2021 14:24:43 +0000