MRI coverage expands to patients with implantable cardiac devices

Why This Topic Matters

The topic affects whether MRI claims for patients with implantable cardiac devices are reimbursable under updated Medicare coverage terms. It also highlights the need for correct diagnosis coding, awareness of effective and implementation dates, and attention to claims handling for earlier dates of service.

Article Sections

1. Billing

   Introduces the CMS coverage change and summarizes the broader impact on MRI access for patients with implantable cardiac devices. Provides general context for the policy update and its implications for practice workflows.

2. Code it right

   Discusses the billing and documentation elements tied to MRI claims under the updated coverage terms. Covers the need to pair the imaging service with an appropriate diagnosis code and notes changes to previously used modifiers.

3. Time your claims right

   Summarizes the effective date and implementation date associated with the policy update. Also addresses how claims from the transition period are handled.

4. Coverage for non-approved devices

   Describes the article’s general discussion of additional coverage conditions for devices that do not have specific FDA labeling. Mentions that further requirements and safeguards may apply.