CMS Expects To Clear Up ICD Trial Coverage Confusion By October
This article was originally published in The Gray Sheet
Executive Summary
CMS is reevaluating its decision memorandum on new indications for ICDs to allow for expanded coverage of the devices under certain clinical trial conditions
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ICD coverage
CMS' June 6 national coverage determination expanding ICD coverage for the MADIT-II population with a long QRS interval will go into effect Oct. 1, agency announces Aug. 25. The 1Coverage Issues Manual update specifies that no other indications can be covered except in the context of Category B clinicals or certified trials in which routine costs are eligible for reimbursement (2"The Gray Sheet" Aug. 18, 2003, p. 14)...