Does C1779 require prior authorization?

No, C1779 does not require prior authorization (high confidence). Covered without prior authorization.

`C1779`, Lead, pacemaker, transvenous vdd single pass

HCPCS/CPT

No Prior Auth Required

Covered without prior authorization (high confidence)

Full documentation requirements (if any) should be obtained from the referenced ACC/AHA 2025 AUC document or the applicable payer/contractor coverage policy.
No documentation requirements explicitly stated in the provided excerpt.
No specific documentation requirements are stated in this document chunk; providers must follow the documentation requirements specified in the applicable MAC LCD/NCD/LCA.
Please refer to the CMS website (Medicare Coverage Database and Online Manual System (IOMs) and Transmittals) for the most current documentation and record-keeping requirements.

No covered indications explicitly stated in the provided excerpt.
Refer to CMS Medicare Coverage Database for the most current applicable CMS National Coverage Determination (NCD)/Local Coverage Determination (LCD)/Local Coverage Article (LCA).
Humana and subsidiaries apply a Medicare Administrative Contractor's (MAC's) LCD to all requests (both Part A and Part B services) within the MAC's applicable geographic jurisdiction.
Permanent cardiac pacemakers for treatment of bradycardia arising from sinus node dysfunction.
Permanent cardiac pacemakers for treatment of bradycardia arising from atrioventricular (AV) block.
Clinical indications for Cardiac Electrophysiological Studies and Cardiac Catheter Ablation: coverage is determined by the applicable MAC LCD/NCD (no specific clinical indications listed in this document; see the referenced MAC LCD/NCD for covered diagnoses and scenarios).

HUMANA-CARDIAC-PACEMAKERS-MA, Cardiac Pacemakers

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