Billing and Coding: Implantable Automatic Defibrillators
J5 · Effective Oct 1, 2026
1 active Medicare policy lists C7537, and 7 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 Oct 1, 2026
7 policies from 6 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of C7537 |
|---|---|---|
| Cardiac Implantable Electronic Devices | Sep 19, 2026 | Covered |
| Cardiac Resynchronization Therapy [for WellPoint Massachusetts] | Oct 20, 2024 | Covered |
| Policy | Effective | Status of C7537 |
|---|---|---|
| Cardiac Resynchronization Therapy and Other Pacing/Defibrillator Treatments for Heart Failure | Sep 8, 2023 | Covered |
| Policy | Effective | Status of C7537 |
|---|---|---|
| Biventricular Pacemakers (Cardiac Resynchronization Therapy) for the Treatment of Heart Failure | Oct 1, 2026 | Covered |
| Policy | Effective | Status of C7537 |
|---|---|---|
| Biventricular Pacemakers (Cardiac Resynchronization Therapy) for the Treatment of Heart Failure | Oct 1, 2026 | Covered |
| Policy | Effective | Status of C7537 |
|---|---|---|
| Biventricular Pacemakers (Cardiac Resynchronization Therapy) for the Treatment of Heart Failure | Oct 1, 2026 | Covered |
| Policy | Effective | Status of C7537 |
|---|---|---|
| Biventricular Pacemakers (Cardiac Resynchronization Therapy) for the Treatment of Heart Failure | Oct 1, 2026 | Covered |