Self-Contained Pacemaker Monitors

Self-contained pacemaker monitors (digital or audible/visible) are covered for patients with a cardiac pacemaker when prescribed by a physician; payment may be for rental or purchase. Digital monitors require physician involvement only if the pacemaker rate changes by ≥5 pulses per minute from the initial rate, and audible/visible monitors require involvement when their signals change; if outpatient pacemaker evaluation is performed in addition to home monitoring, medical necessity for that outpatient evaluation must be documented.

"Payment may be made for rental or purchase of a self-contained pacemaker monitor when prescribed by a physician for a patient who has a cardiac pacemaker."

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