Cardiac rhythm management and cardiac catheter ablation solutions reimbursement

Leadless pacemakers

• Reimbursement Guide: Micra™ Leadless Pacemakers
• Medicare Billing Instructions for Micra™ Leadless Pacemakers
• Watch a video to learn more about Micra™ transcatheter pacing system Medicare requirements.

Prior authorization tools and resources

• Prior Authorization Resources for Micra™ Leadless Pacemakers
• Prior Authorization Guide

Transvenous pacemakers

• Conduction System Pacing Reimbursement Guide

Leadless and transvenous pacemakers

• Coding and Payment Overview: Pacemaker Therapy
• Coding Scenarios: Pacemaker Therapy

• Extravascular ICD Reimbursement Guide
• Facility and Physician Reimbursement Guide: ICD Therapy
• Coding and Payment Overview: Implantable Cardioverter Defibrillators (ICDs) Therapy
• Coding Scenarios: Implantable Cardioverter Defibrillators (ICDs) Therapy
• Understanding Medicare Coverage for ICDs

Prior authorization tools and resources

• Prior Authorization Guide
• Prior Authorization Resources for the Aurora EV-ICD™ System

• Coding and Payment Overview: Cardiac Resynchronization Therapy
• Reimbursement Overview: Cardiac Compass™ Heart Failure Management

Prior authorization tools and resources

• Prior Authorization Guide

• Affera™ Mapping and Ablation System Reimbursement Overview
• Reimbursement Update: Concomitant Left Atrial Appendage Closure and Cardiac Ablation MS-DRG 317
• PulseSelect™ Pulsed Field Ablation (PFA) System Reimbursement Overview
• Reimbursement Guide: Cardiac Catheter Ablation and Electrophysiology Procedures
• Coding and Payment Overview: CardioInsight™ Noninvasive 3-D Mapping System
• Coding Corner: Cardiac Catheter Ablation Coding Update

Prior authorization tools and resources

• Prior Authorization Guide

• Reimbursement Guide: LINQ™ Family of Subcutaneous Cardiac Rhythm Monitors
  

Prior authorization tools and resources

• Prior Authorization Resources: Subcutaneous Cardiac Rhythm Monitors
• Prior Authorization Guide

• CY2024 Reimbursement Update for Remote Monitoring
• Procedure Codes: Device Monitoring Services
• Reimbursement Guide: Cardiac Implantable Electronic Device (CIED) Management Services
• Reimbursement Overview: CareLink Express™ Mobile
• Reimbursement Overview: CareLink SmartSync™ MRI Access Application

• Coding and Payment Overview: Left Ventricular Assist Devices (LVAD) and Peripherals

Prior authorization tools and resources

• Prior Authorization Guide

C-codes

• Go to the C-code finder

Coding resources

• Coding and Payment Overview: Ambulatory Surgical Center
• Coding Reference Guide: Cardiac Rhythm Management Devices, Cardiac Catheter Ablation, and Cardiac Diagnostic Services
• Procedure Codes: Cardiac Devices and Catheter Ablations
• Coding Corner: Reporting a Manufacturer Device Credit
• Coding Guide: TYRX Absorbable Antibacterial Envelopes

Relative value units (RVU)

• Procedure and Monitoring Relative Value Units (RVUs) for Cardiac Rhythm Management Devices, Cardiac Catheter Ablation Procedures, and Cardiac Diagnostic Services

Reimbursement update presentations

• 2025 Medicare Hospital Inpatient Changes for Cardiac Rhythm Management and Cardiac Catheter Ablations
• 2024 Medicare Hospital Outpatient and Physician Fee Schedule Updates and Changes
• Video: Reimbursement Foundations

Prior authorization tools and resources

• Prior authorization guide
• Prior authorization resources: LINQ™ subcutaneous cardiac rhythm monitors
• Prior authorization resources: Micra™ leadless pacemakers
• Prior authorization resources: the Aurora EV-ICD™ system

Cost effectiveness analysis video

• Video: Cost Effectiveness Analysis — An Introduction

Medicare coverage

Medicare has issued national coverage determinations (NCDs) for the following cardiac rhythm management and heart failure therapies:

• Cardiac pacemakers
• Cardiac pacemaker evaluation services
• Electrocardiographic services
• Implantable cardioverter defibrillators
• Leadless pacemakers
• MRI in patients with CIED
• Transtelephonic monitoring of pacemakers
• Ventricular assist devices
• Search the Medicare Coverage Database

Medicare Advantage

• 2024 Medicare Advantage Update

Magnetic resonance imaging

• Coding and Coverage for MRI in Medicare Patients with a CIED

Medicare payment rates

• To determine the Medicare physician payment rates in your area, consult the Medicare physician fee schedule (MPFS) search tool.