US · guidance
CMS Pub. 100-03, ch. 1, § 10.6
Anesthesia in Cardiac Pacemaker Surgery
The use of general or monitored anesthesia during transvenous cardiac pacemaker
surgery may be reasonable and necessary and therefore covered under Medicare only if
adequate documentation of medical necessity is provided on a case-by-case basis. The
A/B MAC obtains advice from its medical consultants or from appropriate specialty
physicians or groups in its locality regarding the adequacy of documentation before
deciding whether a particular claim should be covered.
A second type of pacemaker surgery that is sometimes performed involves the use of the
thoracic method of implantation which requires open surgery. Where the thoracic
method is employed, general anesthesia is always used and should not require special
medical documentation.
History
(Rev. 173, Issued: 09-04-14, Effective: Upon Implementation: of ICD-10, Implementation: Upon Implementation of ICD-10)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
2eea647e4cb2a554440c6470c426c741ecb78d385e52793a0af758908ccbc758
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