Anthem Blue Cross Connecticut SURG.00150 Leadless Pacemaker Form

Effective Date

12/28/2023

Last Reviewed

02/16/2023

Original Document

  Reference



This document addresses a single chamber implantable transcatheter pacing system to monitor and regulate the heart rate and rate-responsive bradycardia.

Position Statement

Investigational and Not Medically Necessary:

Use of the leadless pacemaker is considered investigational and not medically necessary for all applications.