Medical Policy Revision: Implantable Cardioverter Defibrillator
Effective October 26, 2015, Horizon Blue Cross Blue Shield of New Jersey will change the way we consider certain claims for automatic implantable cardioverter defibrillators.
Based on the guidelines of our revised medical policy, Implantable Cardioverter Defibrillator:
- Claims for services provided on and after October 26, 2015 that include procedure code 33223 will pend while information required to determine medical necessity is requested and reviewed.
- Procedure codes 33270, 33271, 33272, 33273, 93260, and 93644 submitted on claims for services provided on and after October 26, 2015 will be denied as investigational services.
Review this revised policy in our online Medical Policy Manual.
Unless Horizon BCBSNJ gives written notice that all or part of the above changes have been cancelled or postponed, the changes will be applied to claims for dates of service on and after October 26, 2015.
CPT® is a registered mark of the American Medical Association.