CMS Delays Implementing Permanent Pacemakers NCD

The Centers for Medicare & Medicaid Services (CMS) announced in the Sept. 10 issue of MLN Connects® Provider eNews that it is temporarily delaying implementation of the National Coverage Determination (NCD) for Single Chamber and Dual Chamber Permanent Cardiac Pacemakers (20.8.3).

CMS issued a final decision memorandum in 2013 stating that single or dual chamber, permanent, cardiac pacemakers are reasonable and necessary for the treatment of non-reversible symptomatic bradycardia due to sinus node dysfunction and second- and/or third-degree atrioventricular block. Earlier this year, CMS released Change Request (CR) 9078 transmittals 179 and 3204, implementing the NCD for claims with dates of service on and after Aug. 13, 2013, for those beneficiaries who meet specific coverage criteria.

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CMS now says all editing and decisions on coverage relative to CR 9078 will be made at the local Medicare administrative contractor (MAC) level, until further notice.

Renee Dustman

Renee Dustman

Executive Editor at AAPC
Renee Dustman, BS, MACRA Proficient, is an executive editor at AAPC. She holds a Bachelor of Science degree in Media Communications - Journalism. She has more than 20 years experience in print production and content management, and has worked in a variety of capacities for several publications.
Renee Dustman

About Has 526 Posts

Renee Dustman, BS, MACRA Proficient, is an executive editor at AAPC. She holds a Bachelor of Science degree in Media Communications - Journalism. She has more than 20 years experience in print production and content management, and has worked in a variety of capacities for several publications.

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