|
C1760 |
 |
Closure device, vascular (implantable/insertable)
| short | Closure dev, vasc |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 4.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 4.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1762 |
|
Connective tissue, human (includes fascia lata)
| short | Conn tiss, human(inc fascia) |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 4.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 4.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1763 |
|
Connective tissue, non-human (includes synthetic)
| short | Conn tiss, non-human |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 4.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 4.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1764 |
|
Event recorder, cardiac (implantable)
| short | Event recorder, cardiac |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment |
|
|
|
|
C1765 |
|
Adhesion barrier
| short | Adhesion barrier |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 4.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 4.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1766 |
|
Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away
| short | Intro/sheath,strble,non-peel |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 4.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 4.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1767 |
|
Generator, neurostimulator (implantable), non-rechargeable
| short | Generator, neuro non-recharg |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure |
|
|
|
|
C1768 |
|
Graft, vascular
| short | Graft, vascular |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 3.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 3.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1769 |
|
Guide wire
| short | Guide wire |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 9.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 9.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1770 |
|
Imaging coil, magnetic resonance (insertable)
| short | Imaging coil, mr, insertable |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 3.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 3.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1771 |
|
Repair device, urinary, incontinence, with sling graft
| short | Rep dev, urinary, w/sling |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment |
|
|
|
|
C1772 |
|
Infusion pump, programmable (implantable)
| short | Infusion pump, programmable |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure |
|
|
|
|
C1773 |
|
Retrieval device, insertable (used to retrieve fractured medical devices)
| short | Ret dev, insertable |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 3.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 3.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1776 |
|
Joint device (implantable)
| short | Joint device (implantable) |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 10.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 10.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup |
|
|
|
|
C1777 |
|
Lead, cardioverter-defibrillator, endocardial single coil (implantable)
| short | Lead, aicd, endo single coil |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Nature of Equipment |
|
|
|
|
C1778 |
|
Lead, neurostimulator (implantable)
| short | Lead, neurostimulator |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 4.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure | | OPH | 4.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure |
|
|
|
|
C1779 |
|
Lead, pacemaker, transvenous vdd single pass
| short | Lead, pmkr, transvenous vdd |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Nature of Equipment |
|
|
|
|
C1780 |
|
Lens, intraocular (new technology)
| short | Lens, intraocular (new tech) |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Anatomic Consideration |
|
|
|
|
C1781 |
|
Mesh (implantable)
| short | Mesh (implantable) |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 4.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 4.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1782 |
|
Morcellator
| short | Morcellator |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1783 |
|
Ocular implant, aqueous drainage assist device
| short | Ocular imp, aqueous drain de |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1784 |
|
Ocular device, intraoperative, detached retina
| short | Ocular dev, intraop, det ret |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Anatomic Consideration |
|
|
|
|
C1785 |
|
Pacemaker, dual chamber, rate-responsive (implantable)
| short | Pmkr, dual, rate-resp |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure |
|
|
|
|
C1786 |
|
Pacemaker, single chamber, rate-responsive (implantable)
| short | Pmkr, single, rate-resp |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment |
|
|
|
|
C1787 |
|
Patient programmer, neurostimulator
| short | Patient progr, neurostim |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1788 |
|
Port, indwelling (implantable)
| short | Port, indwelling, imp |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1789 |
|
Prosthesis, breast (implantable)
| short | Prosthesis, breast, imp |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Anatomic Consideration |
|
|
|
|
C1813 |
|
Prosthesis, penile, inflatable
| short | Prosthesis, penile, inflatab |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Anatomic Consideration | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Anatomic Consideration |
|
|
|
|
C1814 |
|
Retinal tamponade device, silicone oil
| short | Retinal tamp, silicone oil |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Anatomic Consideration |
|
|
|
|
C1815 |
|
Prosthesis, urinary sphincter (implantable)
| short | Pros, urinary sph, imp |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Anatomic Consideration | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Anatomic Consideration |
|
|
|
|
C1816 |
|
Receiver and/or transmitter, neurostimulator (implantable)
| short | Receiver/transmitter, neuro |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1817 |
|
Septal defect implant system, intracardiac
| short | Septal defect imp sys |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1818 |
|
Integrated keratoprosthesis
| short | Integrated keratoprosthesis |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Anatomic Consideration |
|
|
|
|
C1819 |
|
Surgical tissue localization and excision device (implantable)
| short | Tissue localization-excision |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 4.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 4.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1820 |
|
Generator, neurostimulator (implantable), with rechargeable battery and charging system
| short | Generator neuro rechg bat sy |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure |
|
|
|
|
C1821 |
|
Interspinous process distraction device (implantable)
| short | Interspinous implant |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 4.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 4.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1822 |
|
Generator, neurostimulator (implantable), high frequency, with rechargeable battery and charging system
| short | Gen, neuro, hf, rechg bat |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1823 |
|
Generator, neurostimulator (implantable), non-rechargeable, with transvenous sensing and stimulation leads
| short | Gen, neuro, trans sen/stim |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment |
|
|
|
|
C1824 |
|
Generator, cardiac contractility modulation (implantable)
| short | Generator, ccm, implant |
|
|
|
C1830 |
|
Powered bone marrow biopsy needle
| short | Power bone marrow bx needle |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure |
|
|
|
|
C1839 |
|
Iris prosthesis
|
|
|
C1840 |
|
Lens, intraocular (telescopic)
| short | Telescopic intraocular lens |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Anatomic Consideration | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Anatomic Consideration |
|
|
|
|
C1841 |
|
Retinal prosthesis, includes all internal and external components
| short | Retinal prosth int/ext comp |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 2 Date of Service Edit: Policy | Nature of Service/Procedure | | OPH | 1.0 | 2 Date of Service Edit: Policy | Nature of Service/Procedure |
|
|
|
|
C1842 |
|
Retinal prosthesis, includes all internal and external components; add-on to c1841
| short | Retinal prosth, add-on |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 2 Date of Service Edit: Policy | Nature of Service/Procedure | | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
|
C1874 |
|
Stent, coated/covered, with delivery system
| short | Stent, coated/cov w/del sys |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 5.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 5.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1875 |
|
Stent, coated/covered, without delivery system
| short | Stent, coated/cov w/o del sy |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 4.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 4.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1876 |
|
Stent, non-coated/non-covered, with delivery system
| short | Stent, non-coa/non-cov w/del |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 5.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 5.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1877 |
|
Stent, non-coated/non-covered, without delivery system
| short | Stent, non-coat/cov w/o del |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 5.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 5.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1878 |
|
Material for vocal cord medialization, synthetic (implantable)
| short | Matrl for vocal cord |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Anatomic Consideration |
|
|
|
|
C1880 |
|
Vena cava filter
| short | Vena cava filter |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1881 |
|
Dialysis access system (implantable)
| short | Dialysis access system |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1882 |
|
Cardioverter-defibrillator, other than single or dual chamber (implantable)
| short | Aicd, other than sing/dual |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment |
|
|
|
|
C1883 |
|
Adapter/extension, pacing lead or neurostimulator lead (implantable)
| short | Adapt/ext, pacing/neuro lead |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 4.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 4.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1884 |
|
Embolization protective system
| short | Embolization protect syst |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 4.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 4.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1885 |
|
Catheter, transluminal angioplasty, laser
| short | Cath, translumin angio laser |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1886 |
|
Catheter, extravascular tissue ablation, any modality (insertable)
| short | Catheter, ablation |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure |
|
|
|
|
C1887 |
|
Catheter, guiding (may include infusion/perfusion capability)
| short | Catheter, guiding |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 7.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 7.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1888 |
|
Catheter, ablation, non-cardiac, endovascular (implantable)
| short | Endovas non-cardiac abl cath |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1889 |
|
Implantable/insertable device, not otherwise classified
| short | Implant/insert device, noc |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup |
|
|
|
|
C1890 |
|
No implantable/insertable device used with device-intensive procedures
| short | No device w/dev-intensive px |
|
|
|
C1891 |
|
Infusion pump, non-programmable, permanent (implantable)
| short | Infusion pump,non-prog, perm |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment |
|
|
|
|
C1892 |
|
Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away
| short | Intro/sheath,fixed,peel-away |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 6.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 6.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1893 |
|
Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away
| short | Intro/sheath, fixed,non-peel |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 6.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 6.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1894 |
|
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser
| short | Intro/sheath, non-laser |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 6.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 6.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1895 |
|
Lead, cardioverter-defibrillator, endocardial dual coil (implantable)
| short | Lead, aicd, endo dual coil |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1896 |
|
Lead, cardioverter-defibrillator, other than endocardial single or dual coil (implantable)
| short | Lead, aicd, non sing/dual |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1897 |
|
Lead, neurostimulator test kit (implantable)
| short | Lead, neurostim test kit |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1898 |
|
Lead, pacemaker, other than transvenous vdd single pass
| short | Lead, pmkr, other than trans |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1899 |
|
Lead, pacemaker/cardioverter-defibrillator combination (implantable)
| short | Lead, pmkr/aicd combination |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1900 |
|
Lead, left ventricular coronary venous system
| short | Lead, coronary venous |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Anatomic Consideration | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Anatomic Consideration |
|
|
|
|
C1982 |
|
Catheter, pressure-generating, one-way valve, intermittently occlusive
| short | Cath, pressure,valve-occlu |
|
|
|
C2596 |
|
Probe, image-guided, robotic, waterjet ablation
| short | Probe, robotic, water-jet |
|
|
|
C2613 |
|
Lung biopsy plug with delivery system
| short | Lung bx plug w/del sys |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C2614 |
|
Probe, percutaneous lumbar discectomy
| short | Probe, perc lumb disc |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 3.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 3.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C2615 |
|
Sealant, pulmonary, liquid
| short | Sealant, pulmonary, liquid |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|