Implantable Loop Recorders and Wearable Heart Rhythm Monitors – Commercial and Individual Exchange Medical Policyopen_in_new

Implantable loop recorders (ILRs) are medically necessary for evaluating suspected cardiac arrhythmias (e.g., post-cryptogenic stroke AF, ventricular arrhythmia, high-risk structural/infiltrative disease, recurrent/unexplained infrequent syncope, or abnormal EP/tilt testing) and for replacement if beyond useful life/irreparable, provided noninvasive monitoring was contraindicated or yielded nondiagnostic results after ≥2 weeks and appropriate medical documentation is supplied. Consumer-grade wearable cardiac self-monitoring devices and related downloading hardware/software are excluded as not medically necessary and considered convenience items.

"Implantable Loop Recorders are proven and medically necessary for evaluating suspected cardiac arrhythmias when noninvasive cardiac event recording is contraindicated or yielded non-diagnostic resu..."

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