![]() ![]() AngelMed Guardian intracardiac ischemia monitoring device.The following procedures are considered experimental and investigational because the effectiveness of these approaches has not been established: In addition, validated blood pressure cuffs are considered medically necessary DME for members with hypertension. In addition, Aetna considersers validated blood pressure monitors medically necessary for members receiving hemodialysis or peritoneal dialysis in the home. only one blood pressure cuff considered medically necessary per 5 years.correct cuff size assessed and provided by the vendor and. ![]() the blood pressure cuff is prescribed by a physician and.Blood Pressure Monitors and Stethoscopes Aetna considers validated home blood pressure monitors a medically necessary alternative to ambulatory blood pressure monitoring to confirm the diagnosis of hypertension in persons age 18 years of age and older who have elevated blood pressure readings in the office (greater than 140 systolic or 90 diastolic) and the following criteria are met:.The design of the self-contained pacemaker monitor makes it possible for the member to monitor his or her pacemaker periodically and minimizes the need for regular visits to the outpatient department of the provider. Pacemaker monitoring equipment is needed to detect impending battery failure and to monitor the performance of the pacemaker. The Pace Trac is an example of a pacemaker monitor currently on the market.Ī pacemaker controls cardiac arrhythmias by repeated electrical stimulation of the heart. Digital electronic pacemaker monitors - these devices provide the member with an instantaneous digital readout of his/her pacemaker pulse rate.Ī specialized telephone attachment for trans-telephonic transmission of pacemaker monitoring results is also considered medically necessary.Audible/visible signal pacemaker monitors - these devices produce an audible and visible signal that indicates the pacemaker rate.This Clinical Policy Bulletin addresses cardiovascular monitoring equipment for home use: pulse, blood pressure, telemonitors, and pacemaker monitors.Īetna considers self-contained pacemaker monitors medically necessary for members with cardiac pacemakers. Number: 0548 Table Of Contents Policy Applicable CPT / HCPCS / ICD-10 Codes Background References
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