NCA - Cardiac Pacemakers: Single-Chamber and Dual-Chamber Permanent Cardiac Pacemakers (CAG-00063R3)

Permanent cardiac pacemakers are covered for patients with documented symptomatic bradycardia due to sinus node dysfunction or advanced heart block, provided that reversible causes have been ruled out. Key requirements include clinical documentation of the condition and results from electrophysiological studies supporting the need for implantation. Limitations include non-coverage for transient bradycardia from reversible causes, asymptomatic cases, and the use of pacemakers solely to enhance exercise capacity.

"Indicated for patients with symptomatic bradycardia due to sinus node dysfunction."

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