Medicare Benefits Schedule - Note DN.1.34

Discussions of the results, findings or interpretation of a study are reasonably expected to be part of a formal report. Discussion of these findings with a patient does not constitute a consult. Similarly, discussion(s) during the course of a study or to determine the safety or appropriateness of the study is part of the service and should not be claimed as a consult.

Related Items: 11721 11727

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IMPLANTED PACEMAKER TESTING of atrioventricular (AV) sequential, rate responsive, or antitachycardia pacemakers, including reprogramming when required, not being a service associated with a service to which Item 11704, 11719, 11720, 11725 or 11726 applies

Fee: $76.75 Benefit: 75% = $57.60 85% = $65.25

(See para DN.1.33, DN.1.34 of explanatory notes to this Category)

IMPLANTED DEFIBRILLATOR TESTING involving electrocardiography, assessment of pacing and sensing thresholds for pacing and defibrillation electrodes, download and interpretation of stored events and electrograms, including programming when required, not being a service associated with a service to which item 11719, 11720, 11721, 11725 or 11726 applies

Fee: $104.30 Benefit: 75% = $78.25 85% = $88.70

(See para DN.1.34 of explanatory notes to this Category)