NCD 20.4 Implantable Cardiac Defibrillators (ICDs) - Revised

MLN Matters Number: MM10865 Revised
Related CR Release Date: February 15, 2019
Related CR Transmittal Number: R213NCD
Related Change Request (CR) Number: 10865
Effective Date: February 15, 2018
Implementation Date: March 26, 2019 - MAC local edits

Note: CMS revised this article on February 26, 2019, to reflect a revised CR10865 issued on February 15. CMS revised the CR to change the implementation date to March 26, 2019, and CMS revised the article accordingly. Also, CMS revised the CR release date, transmittal number, and the Web address of the CR. All other information is unchanged.

CR 10865 and the Medicare National Coverage Determinations (NCD) Manual Transmittal reflects the Centers for Medicare & Medicaid Services (CMS) final decision dated February 15, 2018, regarding the reconsideration of NCD 20.4, Implantable Defibrillators (ICDs). Make sure your billing staffs are aware of this decision. Effective February 15, 2018, coverage policy is no longer contingent on participation in a trial/study/registry. Therefore, claims with a Date of Service (DOS) on an after February 15, 2018, no longer require any trial-related coding.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)10865.

Last Updated Feb 26, 2019