Cardiology - JF Part B

The CMS Internet Only Manual (IOM), Publication 100-03, Medicare National Coverage Determinations Manual, Chapter 1, Section 20, provides Cardiovascular System National Coverage Determinations (NCDs). This includes topics such as:

• Vertebral Artery Surgery
• Extracranial - Intracranial (EC-IC) Arterial Bypass Surgery
• Thoracic Duct Drainage (TDD) in Renal Transplants
• Implantable Cardioverter Defibrillators
• Transmyocardial Revascularization (TMR)
• Percutaneous Transluminal Angioplasty (PTA)
• Cardiac Pacemakers, Evaluation Services, Transtelephonic Monitoring, Self-Contained Pacemaker Monitors, Leadless Pacemakers
• Electrocardiographic Services
• Transcatheter Aortic Valve Replacement (TAVR)
• Transcatheter Edge-to-Edge Repair (TEER) for Mitral Valve Regurgitation

Cardiovascular Disease Screening is one of the services Medicare covers to prevent disease, detect disease early when it is most treatable and curable, and manage disease so that complications can be avoided.

CMS released a national provider Comparative Billing Report (CBR) addressing Cardiology Services. For more information and to review a sample of the Cardiology Services CBR, visit the CBR Services website located at https://pepper.cbrpepper.org/index.html.

Access the below cardiology related information from this page.

• Cardiac and Pulmonary Rehabilitation Programs
• Dual-Chamber Cardiac Pacemaker Insertion Billing
• Electrocardiographic Monitoring Services Billing
• Leadless Pacemaker

Resources

• CMS IOM, Medicare Claims Processing Manual, Publication 100-04, Chapter 12, Section 30.6.10, Consultation Services
• CMS IOM, Medicare Claims Processing Manual, Publication 100-04, Chapter 13, Section 100.1, X-rays and EKGs Furnished to Emergency Room Patients
• CMS Medicare Approved Facilities / Trials / Registries