CG-MED-74 Implantable Ambulatory Event Monitors and Mobile Cardiac Telemetry

Coverage for implantable ambulatory event monitors and mobile cardiac telemetry is provided when medically necessary for patients experiencing symptoms such as unexplained palpitations or suspected arrhythmias, particularly following a cryptogenic stroke. Key requirements include prior documentation of medical necessity, a previous non-diagnostic trial of external monitoring, and a frequency limit of one monitoring session per 30 days. Limitations include exclusion of experimental services, routine monitoring, and coverage restrictions based on age or specific patient populations.

"Services are covered when medically necessary and supported by clinical evidence."

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