tci Part B Insider - 2016 Issue 10

Cardiology: CMS Solidifies Coverage for LAAC Using 0281T

Latest decision memo finally illuminates payment rules for left atrial appendage closures. If you’ve been waiting patiently for CMS to release its national coverage determination (NCD) for left atrial appendage closures, the time has finally arrived. The agency posted its final decision memo, stating, the payer “covers percutaneous left atrial appendage closure (LAAC) for non-valvular atrial fibrillation (NVAF) through Coverage with Evidence Development (CED).” You’ve got a few conditions to meet, of course. For instance, when using a device with FDA Premarket Approval for that device’s FDA-approved indication (analysts indicate that at this point...

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