20
CMS-20
This coverage policy provides benefits for patients with specific life-threatening arrhythmias and other cardiac conditions, including documented cardiac arrest from ventricular fibrillation and ischemic dilated cardiomyopathy with low ejection fractions. Key requirements include evidence of a qualifying prior myocardial infarction, adherence to time constraints for procedures, documented cardiac evaluations, and informed patient consent, while also limiting coverage for patients unlikely to survive beyond one year. Additionally, all documentation must meet rigorous standards set by Medicare and clinical trial criteria.
"Covered for patients with arrhythmias requiring lifesaving interventions."
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