RESOURCES FOR IMPLANTABLE CARDIOVERTER DEFIBRILLATORS (ICD) CARDIAC RHYTHM AND HEART FAILURE

CODING, COVERAGE, AND REIMBURSEMENT RESOURCES FOR IMPLANTABLE CARDIOVERTER DEFIBRILLATORS

pdf Extravascular ICD reimbursement guide (.pdf)

A comprehensive hospital and physician coding, coverage, and payment reimbursement guide for extravascular implantable cardioverter defibrillators (EV ICD), such as the Aurora EV-ICD™ system.

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Prior authorization tools and resources

Process examples and submission guidance to support prior authorization

pdf Prior authorization guide (.pdf)

This document is a comprehensive instruction guide offering considerations for submitting prior authorizations to patients' insurance, including initial prior authorization, prior authorization appeals, and peer-to-peer review.

pdf Prior authorization resources for the Aurora EV-ICD™ system (.pdf)

This document provides an example letter of medical necessity to submit with prior authorization requests and an example prior authorization appeal letter in the instance of a prior authorization denial. It also includes a bibliography of evidence to support prior authorization.