Implementation of the Pacemaker NCD has been delayed.

The new National Coverage Determination (NCD) for Single Chamber and Dual Chamber Cardiac Pacemakers has been delayed (it was supposed to go into effect today). The new implementation date has not been announced at this time.

Full Announcement from Novitas Solutions:

Delay in Implementing NCD for Single Chamber and Dual Chamber Cardiac Pacemakers



On August 13, 2013, the CMS issued a final decision memorandum regarding coverage of implanted permanent cardiac pacemakers, single chamber or dual chamber, and determined they are reasonable and necessary for the treatment of non-reversible symptomatic bradycardia due to sinus node dysfunction and second and/or third degree atrioventricular block. On February 6, 2014, CMS directed Medicare Administrative Contractors to implement national coverage determination (NCD) 20.8.3 on July 7, 2014, for claims with dates of service on and after August 13, 2013, for those beneficiaries who meet the specific coverage criteria. See MLN Matters® Article MM8525.



There is a temporary delay in implementing NCD 20.8.3. CMS will advise you of the new implementation date in the near future.