MED.00115 Outpatient Cardiac Hemodynamic Monitoring Using a Wireless Sensor for Heart Failure Management

- Policy addresses outpatient cardiac hemodynamic monitoring using an implantable wireless pulmonary artery pressure sensor (e.g., CardioMEMS HF System). - Coverage: Not covered. Anthem deems implantation of these sensors investigational and not medically necessary for heart failure management and all other indications. - Limitations: Applies regardless of NYHA class or device brand; there are no covered scenarios under this policy.

"The implantation of a pressure sensor into the pulmonary artery for the purpose of wireless ambulatory monitoring of heart failure and all other indications is consideredinvestigational and not med..."

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