About this policy
CMS evidence review | evidence_type=Technology Assessment | record_type=technology_assessment | document_id=28 | year=2005
Coverage indications
The Centers for Medicare and Medicaid Services (CMS) has discovered a discrepancy in section 35-45 of the Coverage Issues Manual (CIM). The policy states that cardiac catheterization may be covered in a freestanding clinic when the carrier, in consultation with the appropriate Peer Review Organization, determines that the procedure can be performed safely in all respects in the particular facility. The Peer Review Organizations (recently renamed Quality Improvement Organizations) ceased doing reviews of core freestanding, cardiac catheterization facilities in the early 1990s. Since the implementation of CIM 35-45, we are unaware of any emerging evidence that there is a greater risk of adverse events at these freestanding clinics. Therefore, CMS is opening this policy to review the evidence and correct the discrepancy.
Documentation requirements
Associated Nca: Original Consideration for Cardiac Catheterization Performed In Other Than A Hospital Setting (CAG-00166N) Issue: The Centers for Medicare and Medicaid Services (CMS) has discovered a discrepancy in section 35-45 of the Coverage Issues Manual (CIM). The policy states that cardiac catheterization may be covered in a freestanding clinic when the carrier, in consultation with the appropriate Peer Review Organization, determines that the procedure can be performed safely in all respects in the particular facility. The Peer Review Organizations (recently renamed Quality Improvement Organizations) ceased doing reviews of core freestanding, cardiac catheterization facilities in the early 1990s. Since the implementation of CIM 35-45, we are unaware of any emerging evidence that there is a greater risk of adverse events at these freestanding clinics. Therefore, CMS is opening this policy to review the evidence and correct the discrepancy. Other Material: Other Material 1 Questions: Questions Technology Assessment: Download Technology Assessment [PDF, 1MB].
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.