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NCD For HIS Bundle Study (20.13) : Centers For Medicare & Medicaid Services

The HIS Bundle Study is a specialized electrocardiography procedure covered by Medicare under specific conditions, primarily for patients with complex arrhythmias or heart block. Coverage is limited to certain patients, and when performed alongside heart catheterization, only one procedure will be covered. Additional charges may apply for the study, but no separate charge is recognized if it is part of a diagnostic endocardial electrical stimulation.

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126 views1 page

NCD For HIS Bundle Study (20.13) : Centers For Medicare & Medicaid Services

The HIS Bundle Study is a specialized electrocardiography procedure covered by Medicare under specific conditions, primarily for patients with complex arrhythmias or heart block. Coverage is limited to certain patients, and when performed alongside heart catheterization, only one procedure will be covered. Additional charges may apply for the study, but no separate charge is recognized if it is part of a diagnostic endocardial electrical stimulation.

Uploaded by

Magoo Ames
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Centers for Medicare & Medicaid Services

Content Section

NCD for HIS Bundle Study (20.13)

Publication Number

100-3

Manual Section Number

20.13

Version Number

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: those with complex ongoing
acute arrhythmias, those with intermittent or permanent heart block in whom pacemaker implantation is
being considered, and 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,

NCD for HIS Bundle Study (20.13) 1

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