Medicare Benefits Schedule - Item 38288

Implantable loop recorder, insertion of, for diagnosis of atrial fibrillation, if:

(a) the patient to whom the service is provided has been diagnosed as having had an embolic stroke of undetermined source; and

(b) the bases of the diagnosis included the following:

(i) the medical history of the patient;

(ii) physical examination;

(iii) brain and carotid imaging;

(iv) cardiac imaging;

(v) surface ECG testing including 24‑hour Holter monitoring; and

(c) atrial fibrillation is suspected; and

(d) the patient:

(i) does not have a permanent indication for oral anticoagulants; or

(ii) does not have a permanent oral anticoagulants contraindication;

including initial programming and testing

Multiple Operation Rule

(Anaes.)

Fee: $212.35 Benefit: 75% = $159.30 85% = $180.50

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