Rhythm Management

Boston Scientific Rhythm Management offers resources for hospitals, physicians, clinicians, and reimbursement professionals seeking a better understanding of reimbursement for Rhythm Management procedures. For questions on coding, coverage, and reimbursement for RM therapies, contact our reimbursement customer support at crm.reimbursement@bsci.com


  • Apr 07, 2014 Medicare and Private Payer Coverage for CRT-D

    Coverage for CRT-D therapy varies among the Centers for Medicare & Medicaid Services (CMS) and private health plans. This resource includes information on CMS’ coverage policies and recent coverage expansion by many private health plans for CRT-Ds from Class III and IV to include Class II patients with mild heart failure. PDF, 542.0 KB

  • Oct 23, 2014 Prior Authorization Letter for Cardiac Devices

    DOC, 109.0 KB

  • Aug 10, 2016 FY2017 Hospital Inpatient Final Rule (IPPS)

    On August 2, 2016, the Centers for Medicare and Medicaid Services (CMS) released the Final Hospital Inpatient Prospective Payment System (IPPS) policies and rates for FY2017 which apply to approximately 3,400 acute care hospitals. CMS’ final payment and policy changes will take effect October 1, 2016. PDF, 163.0 KB

  • Nov 14, 2016 CY2017 Medicare Final Rules for HOPPS, ASC and PFS

    On November 1, 2016, the 2017 final policies and payment rates for Medicare’s Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Centers (ASC) were released and the final Physician Fee Schedule (PFS) was released on November 2. The final policy and payment rates have an effective date of January 1, 2017. PDF, 739.0 KB

  • Mar 09, 2017 2017 Procedural Payment Guide

    2017 Procedural Payment Guide PDF, 764.0 KB

  • Feb 13, 2017 2017 Rhythm Management Billing and Coding Guide

    PDF, 3.0 MB

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