An additional 30 consecutive days may be considered medically necessary in EITHER of the following situations: Ambulatory event monitors for greater than 30 consecutive days in a twelve (12) month period must be referred for a medical necessity determination.Ambulatory event monitors are considered part of the global allowance and are not eligible for separate reimbursement when performed more frequently within the 30 day period. Ambulatory event monitors may be considered medically necessary once in a 30 day period regardless of the number of events or recordings which occurred.The use of individual activated or auto activated external ambulatory event monitors or continuous ambulatory monitors that record and store information for periods greater than 48 hours may be considered medically necessary as a diagnostic alternative to Holter monitoring. It is commonly ordered for 14 or 30 day periods.Ī monitor implanted under the skin that can monitor continuously and can be triggered by the individual it may be implanted for several years.Ĭoverage is subject to the specific terms of the member’s benefit plan. Mobile Cardiac Outpatient Telemetry (MCOT):Ī type of loop monitor that is auto-triggered by rhythm changes and also can be triggered by the individual. It is much less expensive than the mobile cardiac output telemetry and the implantable monitors. Symptom event monitor: activated by pushing a button does not store data prior to when it was activated.Īn external monitor applied by adhesive to the chest it records continuously and typically is worn up to 14 days.Looping memory monitor: activated by pushing a button stores data from before and during symptom occurrence, prior to when it was activated if activated immediately after a syncopal episode, it will record from the time before the event.These monitors are often referred to as event monitors.You may want to save or print these questions and take them with you to your next doctor’s appointment.Monitors activated only when triggered by the individual: Is there anything else I can do to protect myself or get more information about my condition?.How often do I need to come in for an office visit while I’m being monitored?.How might these monitoring options affect my regular activities, such as working, being active, or caring for my children or grandchildren?.Which system would fit my lifestyle and/or condition?.How long should I be monitored to get the best information about my condition?.Would the information from continuous heart monitoring help pinpoint a diagnosis for my condition?.Would continuous, longer-term heart monitoring provide additional information about my health condition?.If you’re wondering about how advanced continuous heart monitoring might help guide your healthcare decisions, it’s time to talk to your doctor. Ready to Talk to Your Doctor about Heart Monitoring? In some cases, your doctor may want to monitor how effective different treatments are at keeping your AFib under control. If you have AFib, or if your doctor suspects that you do, cardiac monitoring may be recommended to determine how often and how long it occurs. Your doctor may recommend continuous heart monitoring to assist in diagnosis of health conditions, including:Ĭardiac Monitoring for Condition ManagementĪtrial fibrillation (or AFib) is a common condition in which the upper chambers of the heart beat very fast and irregularly. Cardiac monitoring is used to either identify or rule out a heart rhythm disorder and to determine the right course of treatment. Your doctor may suspect that health concerns, such as unexplained fainting or an unexplained stroke, may be related to your heart. Cardiac Monitoring to Support a Diagnosis Depending on your situation, your doctor may recommend heart monitoring. Continuous heart monitoring is useful for capturing irregular heartbeats that happen infrequently - in some cases, you may not even feel any symptoms. Advanced technology makes it possible for your doctor to get information about your heart without interrupting your life.
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