Billing and Coding: Artificial Hearts and Percutaneous Endovascular Cardiac Assist Procedures and Devices (A52967) R12 - Effective October 1, 2022

This coverage article has been revised and published for notice under contract numbers: 02101 (AK), 02201 (ID), 02301 (OR), 02401 (WA), 03101 (AZ), 03201 (MT), 03301 (ND), 03401 (SD), 03501 (UT), and 03601 (WY).

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.

Visit the Noridian Medicare Coverage Articles webpage to view the complete listing of coverage articles and/or access the Active, Future, or Retired articles available in the CMS MCD.

 

Last Updated Sep 30 , 2022