Payer PolicyActive
MED.00111 Intracardiac Ischemia Monitoring
ANTHEM-MED.00111
Anthem
Effective: April 16, 2025
Updated: December 30, 2025
Policy Summary
This policy addresses intracardiac ischemia monitoring, including implantable systems intended to detect acute myocardial ischemic events. Coverage: Anthem deems intracardiac ischemia monitoring investigational and not medically necessary for all indications; there are no covered circumstances. Limitations: Services/devices billed under HCPCS/CPT codes 93799, C1833, and C9750 are not covered, and no exceptions are specified.
Coverage Criteria Preview
Key requirements from the full policy
"Intracardiac ischemia monitoring is consideredinvestigational and not medically necessaryfor all indications including, but not limited to, detection of acute myocardial ischemic events."
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