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National Coverage Determination (NCD) 20.36 Implantable Pulmonary Artery Pressure Sensors for Heart Failure Management

The purpose of this Change Request (CR) is to inform contractors that effective January 13, 2025, contractors shall pay claims for implantable pulmonary artery sensors for heart failure management as described in Pub. 100-03, Medicare NCD Manual, Chapter 1, section 20.36.

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Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: May 22, 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.