Billing and Coding: Implantable Automatic Defibrillators
J5 · Effective Jan 1, 2026
1 active Medicare policy lists C7538, and 6 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
6 policies from 5 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of C7538 |
|---|---|---|
| Cardiac Implantable Electronic Devices | Not recorded | Covered |
| Cardiac Resynchronization Therapy | Not recorded | Covered |
| Policy | Effective | Status of C7538 |
|---|---|---|
| Biventricular Pacemakers (Cardiac Resynchronization Therapy) for the Treatment of Heart Failure | Jan 1, 2026 | Covered |
| Policy | Effective | Status of C7538 |
|---|---|---|
| Biventricular Pacemakers (Cardiac Resynchronization Therapy) for the Treatment of Heart Failure | Jan 1, 2026 | Covered |
| Policy | Effective | Status of C7538 |
|---|---|---|
| Biventricular Pacemakers (Cardiac Resynchronization Therapy) for the Treatment of Heart Failure | Jan 1, 2026 | Covered |
| Policy | Effective | Status of C7538 |
|---|---|---|
| Biventricular Pacemakers (Cardiac Resynchronization Therapy) for the Treatment of Heart Failure | Jan 1, 2026 | Covered |