NCD20.13 HIS BUNDLE STUDY

 

 

Effective Date of this Version

12/3/1984

 

 

Benefit Category

 

• Diagnostic Tests (other)

• Note: This may not be an exhaustive list of all applicable Medicare benefit categories for this item or service.

 

 

Item/Service Description

 

• The HIS Bundle Study is a specialized type of electrocardiography requiring catheterization of the right side of the heart and is a recognized diagnostic procedure.

 

 

Indications and Limitations of Coverage

 

• Medicare coverage of the procedure would be limited to selected patients:

o Those with complex ongoing acute arrhythmias.

o Those with intermittent or permanent heart block in whom pacemaker implantation is being considered.

o Those patients who have recently developed heart block secondary to a myocardial infarction.

• When heart catheterization and the HIS Bundle Study are performed at the same time, the program will cover only one catheterization and a small additional charge for the study.

• When a HIS bundle cardiogram is obtained as part of a diagnostic endocardial electrical stimulation, no separate charge will be recognized for the His bundle study.

 

 

Cross Reference

 

• See the NCD Manual 20.12,

 

Medicare NCD Link