Cardiac Resynchronization Therapy Pacemakers (CRT-Ps)

Last updated: July 2007

A cardiac resynchronization therapy pacemaker (CRT-P) utilizes biventricular pacing to coordinate the contraction of the ventricles with the intent of improving the hemodynamic status of the patient. This technology utilizes both conventional pacing technology as well as the addition of a third electrode that provides sensing and pacing capabilities in the left ventricle.

At this time there is no specific Medicare National Coverage Determination (NCD) for CRT-Ps. However, some Medicare carriers/fiscal intermediaries have developed Local Coverage Determinations (LCDs) for CRT-P that apply to certain regions. Check with your local Medicare carrier/fiscal intermediary or non-Medicare payer(s) to determine patient coverage and coding/billing guidelines.