How is a CardioMEMS implanted?

Your cardiologist or electrophysiologist will insert a catheter into your femoral vein. Using an X-rays as a guide, the catheter is threaded through your vein to your heart and into your pulmonary artery. When the catheter is placed, the CardioMEMS device – the sensor – is released into your artery.

Is CPT 33289 covered by Medicare?

For dates of service on and after July 1st, 2020, providers can provide pulmonary artery pressure sensor implant (CPT 33289) and remote monitoring services (CPT 93264) for appropriately indicated Medicare patients based on reasonable and medically necessary guidelines similar to the other Medicare contractors.

What is cpt code 93264?

According to the CY2020 Physician Final Rule, CPT‡ code 93264 is reserved for physician reporting of CardioMEMS remote monitoring which includes the professional and technical components in the payment rate.

Is CardioMEMS covered by insurance?

Currently, there is no NCD related to the CardioMEMS HF System. The local MACs provide coverage for the CardioMEMS HF System in the absence of a national policy. To date, there are no LCDs for CardioMEMS (implant and monitoring) and the MACs cover these services based on general “reasonable and necessary” guidelines.

What does CardioMEMS look like?

The CardioMEMS HF System is a paperclip-sized sensor with a thin, curved wire at each end. A cardiologist implants the device in a patient’s pulmonary artery using a catheter, a small flexible tube inserted through the femoral vein located in their groin.

How much does CardioMEMS cost?

Table 3

	CardioMEMS	Standard of Care
Total costs	$188,880	$162,772
Implant: device, procedure, complications	$19,111	$0
Inpatient costs	$108,124	$113,199
Outpatient costs (including monitoring)	$61,645	$49,573

Is CardioMEMS a loop recorder?

Leadless cardiac devices including the CardioMicroelectromechanical (CardioMEMS) device, implantable loop recorder, and right ventricular (RV) leadless pacemaker are important tools in the treatment and management of patients with common cardiac conditions including heart failure, cardiac syncope, and arrhythmias.

What is the difference between G2066 and 93298?

93298 – is for an interrogation device evaluation of a subcutaneous cardiac rhythm monitor system. G2066 (formerly 93299) – is the technical component for both types of device interrogation evaluations.

Where is CardioMEMS placed?

The sensor is implanted during a minimally invasive procedure. The CardioMEMS HF System is a paperclip-sized sensor with a thin, curved wire at each end. A cardiologist implants the device in a patient’s pulmonary artery using a catheter, a small flexible tube inserted through the femoral vein located in their groin.

What does CardioMEMS do?

CardioMEMS is a remote monitoring system. It collects information about a patient’s pulmonary artery pressure each day at home. The information is then securely transmitted to the patient’s cardiologist, where it’s reviewed regularly.

Who invented CardioMEMS?

entrepreneur Dr. Jay Yadav
CardioMEMS, Inc., an Atlanta-based privately held company founded by cardiologist and entrepreneur Dr. Jay Yadav, has pioneered miniature wireless implants for heart failure.

How long is CardioMEMS procedure?

A cardiologist implants the device in a patient’s pulmonary artery using a catheter, a small flexible tube inserted through the femoral vein located in their groin. The procedure typically takes about 30 minutes, and the patient can be given a mild sedative beforehand, but remains awake.

Is G2066 covered by Medicare?

There still is currently no price on the Medicare fee schedule for new 2020 CPT code G2066.

Can CPT 93298 and G2066 be billed together?

Can 93298 and G2066 be billed together? A. Yes. For each 30 day period, CPT 93298 (professional review and interpretation) and CPT G2066 (technical monitoring) should be billed on day 31.

What does a CardioMEMS do?

The CardioMEMS™ uses a small, wireless monitoring sensor implanted in the pulmonary artery to directly measure the arterial pressure. The system allows patients to transmit this data from their homes to their health care providers allowing for personalized and proactive heart failure management.

Who is a candidate for CardioMEMS?

Who is a candidate for CardioMEMS? The CardioMEMS remote monitoring system is approved for patients with New York Heart Association (NYHA) Class III heart failure and who have been hospitalized for heart failure in the previous year.