Billing and Coding: Implantable Automatic Defibrillators
J5 · Effective Jan 1, 2026
1 active Medicare policy lists 33263, and 19 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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J5 · Effective Jan 1, 2026
19 policies from 11 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 33263 |
|---|---|---|
| Cardiac Implantable Electronic Devices | Sep 19, 2026 | Covered |
| Cardiac Resynchronization Therapy | Oct 20, 2024 | Covered |
| Implantable Cardioverter Defibrillators | Nov 17, 2024 | Covered |
| Policy | Effective | Status of 33263 |
|---|---|---|
| Addendum to the eviCore Imaging GuidelinesEffective 01/01/2021 - 01/31/2021 |
|---|
| Jan 1, 2021 |
| Covered with conditions |
| Cardiac Rhythm Implantable Device (CRID) GuidelinesEffective 05/22/2017 - 05/16/2018 | May 22, 2017 | Covered |
|---|
| Cardiac Rhythm Implantable Devices (CRID) GuidelinesEffective 10/15/2020 - 01/31/2021 | Oct 15, 2020 | Covered |
|---|
| Policy | Effective | Status of 33263 |
|---|---|---|
| Biventricular Pacemakers (Cardiac Resynchronization Therapy) for the Treatment of Heart Failure | Jan 1, 2026 | Covered |
| Implantable Cardioverter Defibrillators | Dec 15, 2025 | Covered |
| Policy | Effective | Status of 33263 |
|---|---|---|
| Biventricular Pacemakers (Cardiac Resynchronization Therapy) for the Treatment of Heart Failure | Jan 1, 2026 | Covered |
| Implantable Cardioverter Defibrillators | Dec 15, 2025 | Covered |
| Policy | Effective | Status of 33263 |
|---|---|---|
| Biventricular Pacemakers (Cardiac Resynchronization Therapy) for the Treatment of Heart Failure | Jan 1, 2026 | Covered |
| Implantable Cardioverter Defibrillators | Dec 15, 2025 | Covered |
| Policy | Effective | Status of 33263 |
|---|---|---|
| Biventricular Pacemakers (Cardiac Resynchronization Therapy) for the Treatment of Heart Failure | Jan 1, 2026 | Covered |
| Implantable Cardioverter Defibrillators | Dec 15, 2025 | Covered |
| Policy | Effective | Status of 33263 |
|---|---|---|
| Aetna Cardiology and Radiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 33263 |
|---|---|---|
| Cigna Commercial & Medicare Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 33263 |
|---|---|---|
| EOCCO Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 33263 |
|---|---|---|
| Health Partners Plans Cardiology, Radiology, and Ultrasound Code List | Jul 1, 2025 | Prior auth required |
| Policy | Effective | Status of 33263 |
|---|---|---|
| The Health Plan Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |