Medical policy
Mechanical Circulatory Assist Devices (Ventricular Assist Devices, Percutaneous…
Empire Blue medical policy SURG.00145 · Apr 10, 2024
Key facts
| Policy title | Mechanical Circulatory Assist Devices (Ventricular Assist Devices, Percutaneous Ventricular Assist Devices and Artificial Hearts) |
|---|---|
| Insurer | Empire Blue |
| Policy number | SURG.00145 |
| Policy date | Apr 10, 2024 |
| Current policy | Yes |
| ICD-10 codes | 02HA0QZ, 02HA0RJ, 02HA0RS, 02HA0RZ, 02HA3QZ, 02HA3RJ, 02HA3RS, 02HA3RZ, 02HA4QZ, 02HA4RJ, 02HA4RS, 02HA4RZ, 5A02116, 5A0211D, 5A02216, 5A0221D |
| Insurer page | empireblue.com |
At a glance
- 1–9 510(k)s referenced
- 100–999 PMAs referenced
- None De Novos referenced
- 1–9 Clinical trials referenced
- 10–99 Articles referenced
- None UDI devices referenced
- None NDC products referenced
Counts are shown as ranges. Exact figures, trends and every underlying record are available in Orca1.
About Insurer medical policies
Insurer clinical and medical policies state when a payer covers a device, drug or procedure. Orca1 links each policy to the FDA submissions, trials and articles it cites. Policy text is not reproduced here.
Source: Health insurer clinical and medical policies (insurer as listed); cross-links by Orca1