|
C2617 |
 |
Stent, non-coronary, temporary, without delivery system
| short | Stent, non-cor, tem w/o del |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 4.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 4.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C2618 |
|
Probe/needle, cryoablation
| short | Probe/needle, cryo |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 4.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 4.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C2619 |
|
Pacemaker, dual chamber, non rate-responsive (implantable)
| short | Pmkr, dual, non rate-resp |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment |
|
|
|
|
C2620 |
|
Pacemaker, single chamber, non rate-responsive (implantable)
| short | Pmkr, single, non rate-resp |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment |
|
|
|
|
C2621 |
|
Pacemaker, other than single or dual chamber (implantable)
| short | Pmkr, other than sing/dual |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment |
|
|
|
|
C2622 |
|
Prosthesis, penile, non-inflatable
| short | Prosthesis, penile, non-inf |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Anatomic Consideration | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Anatomic Consideration |
|
|
|
|
C2623 |
|
Catheter, transluminal angioplasty, drug-coated, non-laser
| short | Cath, translumin, drug-coat |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data | | OPH | 4.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C2624 |
|
Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components
| short | Wireless pressure sensor |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment |
|
|
|
|
C2625 |
|
Stent, non-coronary, temporary, with delivery system
| short | Stent, non-cor, tem w/del sy |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 4.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 4.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C2626 |
|
Infusion pump, non-programmable, temporary (implantable)
| short | Infusion pump, non-prog,temp |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment |
|
|
|
|
C2627 |
|
Catheter, suprapubic/cystoscopic
| short | Cath, suprapubic/cystoscopic |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C2628 |
|
Catheter, occlusion
| short | Catheter, occlusion |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 4.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 4.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C2629 |
|
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, laser
| short | Intro/sheath, laser |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 4.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 4.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C2630 |
|
Catheter, electrophysiology, diagnostic/ablation, other than 3d or vector mapping, cool-tip
| short | Cath, ep, cool-tip |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 3.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 3.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C2631 |
|
Repair device, urinary, incontinence, without sling graft
| short | Rep dev, urinary, w/o sling |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Anatomic Consideration | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Anatomic Consideration |
|
|
|