About this policy
CMS National Coverage Determination | ncd_id=238 | manual_section=20.8 | coverage_level_code=2 | national_coverage_type=True | under_review=True | lab_ncd=False
Coverage indications
Rev. 161, Issued: 02-06-14, Effective: 08-13-13, Implementation: 07-07-14)
Documentation requirements
Revision History: 02/2014 - Rev. 161, Issued: 02-06-14, Effective: 08-13-13, Implementation: 07-07-14) ( TN 161 ) (CR8525) 06/2004 - Made technical revision to TN 12 by incorporating an exception for Investigational Device Exemption Clinical Trials. Discard TN 12 and replace with TN 16. Effective and implementation dates 04/30/2004. ( TN 16 ) (CR 3369) 05/2004 - Made minor revisions to text to transfer focus of NCD from actual pacemaker implantation procedure itself to reasonable and necessary medical indications that justify cardiac pacing. Therefore, only framework of NCD revised and not NCD itself. Effective and implementation dates 04/30/2004. ( TN 12 ) (CR 3290) Benefit Categories: 35 - Inpatient Hospital Services; 52 - Physicians' Services; 58 - Prosthetic Devices Transmittal: transmittal_number=161 | transmittal_issue_date=2014-02-06 | change_request_number=8525
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
Backwork has no codes on record for this policy. Check the source.