Indiana Administrative Code (Last Updated: December 20, 2016) |
Title 405. OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES |
Article 405IAC5. MEDICAID SERVICES |
Rule 405IAC5-28. Medical and Surgical Services |
Section 405IAC5-28-3. Cardiac pacemaker
Latest version.
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(a) Medicaid reimbursement is available for single-chamber cardiac pacemaker implantations. Medicaid reimbursement is subject to the restrictions in this section.
(b) Reimbursement is available for implantation of a single-chamber cardiac pacemaker provided that the conditions are:
(1) chronic or recurrent; and
(2) not due to transient causes, such as acute myocardial infarction, drug toxicity, or electrolyte imbalance.
(Office of the Secretary of Family and Social Services; 405 IAC 5-28-3; filed Jul 25, 1997, 4:00 p.m.: 20 IR 3353; readopted filed Jun 27, 2001, 9:40 a.m.: 24 IR 3822; readopted filed Sep 19, 2007, 12:16 p.m.: 20071010-IR-405070311RFA; readopted filed Oct 28, 2013, 3:18 p.m.: 20131127-IR-405130241RFA)