National Coverage Determination (NCD) 20.4 Implantable Cardiac Defibrillators (ICDs)
CR 10865 and the Medicare National Coverage Determinations (NCD) Manual Transmittal reflects the Centers for Medicare & Medicaid Services (CMS) final decision dated February 15, 2018, regarding the reconsideration of NCD 20.4, Implantable Defibrillators (ICDs). Make sure your billing staffs are aware of this decision. Effective February 15, 2018, coverage policy is no longer contingent on participation in a trial/study/registry. Therefore, claims with a Date of Service (DOS) on an after February 15, 2018, no longer require any trial-related coding.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: November 29, 2018
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