33226
HCPCS/CPT
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
Medicare Pricing
Work RVU
8.46
Facility
$423.19
Non-Facility
$423.19
Documentation Required
- CRID-1 - PROCEDURE CODES (section listed; details not provided in the supplied text)
- No explicit documentation requirements (e.g., required medical records, test results, or clinical notes) are included in the provided text chunk.
- No documentation requirements are specified in this document chunk.
- Providers are urged to obtain written instructions and requirements directly from each payer (payers may specify required documentation).
Key Coverage Criteria
- CRID-7.2 Symptomatic Chronotropic Incompetence
- This tool addresses common symptoms and symptom complexes.
- CRID-2 - DEFINITE INDICATIONS FOR ICD IMPLANTATION
- CRID-3 - REASONABLE INDICATIONS FOR ICD IMPLANTATION
- CRID-5 - INDICATIONS FOR (CRT)-D OR (CRT)-P IMPLANTATION
- CRID-7 - DEFINITE INDICATIONS FOR PERMANENT PACEMAKER IMPLANTATION
2 Active Policies
CARELON-cardiac-resynchronization-therapy-2024-10-20 — Cardiac Resynchronization Therapy
EVICORE-CARDIOVASCULAR_RADIOLOGY-AA7EFEBF — Cardiac Rhythm Implantable Device (CRID) Guidelines
Related Codes
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