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NCD for Defibrillator 33249

Date: Dec 13, 2018

Question:

I am looking for changes to the NCD 20.4 Implantable Cardioverter Defibrillators. Since learning of the announced changes at your seminar in February 2018, I've watched for a specified date and my organization has implemented the "Shared Decision Making." It appears Medicare and other payers are paying for the implants if we use the -Q0 modifier and Z00.6 as secondary diagnosis or not. I can't find any information stating this is necessary or is no longer required. Nor can I find any specified date on the decision memo (CAG-00157R4). Do we still need this information on the claims? Could there be a sunset period? Any suggestions would be most appreciated.

Question ID : 11712
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