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Pacemaker & Defibrillator Procedures

Pacemaker & Defibrillator ProceduresJim Collins, CPC, CCCP resident, , (c) 2017 client # 756 The 4 Pathways to Pacemaker CoverageCMS Published CoverageSome asymptomatic Patients from above 25 MAC defined indicationsMAC Interpretation of CMS CoverageCMS Published Coverage Documented non-reversible symptomatic bradycardia due to sinus node dysfunction, or AV Block (2ndor 3rdDegree)5 MAC Defined Indications (no codes provided) resynchronization therapy hypertrophic pause-dependent VT in children, adolescents, & patients with congenital heart diseaseMAC Interpretation (symptomatic)Blocks: AV Block unspec( )1st Degree AV Block ( )LBB other/unspecified ( )RBB other/unspec( , )BBB unspec( , ), RBB w/fasicularblock ( ), other BBB ( )Bifascicularblock ( )Trifascicularblock ( )SVTs ( , )Persistent AF ( )Unspecified AF ( )Atrial flutters ( , , )Carotid sinus syncope ( )MAC Interpretation (asymptomatic)1stDegree AV Block ( )2ndDegree AV Block ( )Complete AV Block ( )SSS ( )Narrative for indications across all MACs is the same.

SVT in which a pacemaker is specifically for control of the tachycardia 2. SVT that is reproducibly terminated by pacing when catheter ablation and/or drugs fail to control the arrhythmia or produce intolerable side effects 3. Atrial fibrillation with symptomatic bradycardia due to necessary medical therapy 4. Atrial flutter with symptomatic ...

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