MM14253 - Adding Extravascular Defibrillator Codes to National Coverage Determination 20.4: Implantable Cardiac Defibrillators
When CMS first issued the NCD 20.4 ICD policy, only intravascular ICD systems were available. In October 2023, FDA approved the Aurora™ EV-ICD with its pivotal clinical trials concluding in 2024.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: December 11, 2025
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.