0
Comment & Response |

Pacemaker Indication Must Meet Medicare Coverage Determination

Ronald Hirsch, MD
JAMA Intern Med. 2013;173(17):1658-1659. doi:10.1001/jamainternmed.2013.8474.
Text Size: A A A
Published online

Extract

To the Editor In the excellent case presentation of a 74-year-old patient with symptomatic second-degree atrioventricular block with 2:1 conduction, Elkin and Goldschlager1 thoroughly reviewed the differential diagnosis and evaluation but omitted important information in the treatment discussion when they noted that that the patient had a dual-chamber pacemaker implanted.

The Centers for Medicare & Medicaid Services (CMS) has published a national coverage determination (NCD 20.8), specifying when CMS will pay for a pacemaker implantation with criteria for both single-chamber and dual-chamber pacemakers.2 The patient described meets the criteria for a single-chamber pacemaker based on the presence of second-degree atrioventricular heart block of type II but does not meet the criteria for a dual-chamber pacemaker unless accompanied by specific medical documentation. In the absence of physician documentation that supports the decision to proceed with a dual-chamber pacemaker, CMS requires that the patient must meet at least 1 of 4 criteria2:

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Related Topics
Jobs
brightcove.createExperiences();