When services can be administered in various settings, the Company reserves the right to reimburse only those services that are furnished in the most appropriate and cost-effective setting that is appropriate to the member’s medical needs and condition. This decision is based on the member’s current medical condition and any required monitoring or additional services that may coincide with the delivery of this service.
This Medical Policy Bulletin document describes the status of medical technology at the time the document was developed. Since that time, new technology may have emerged or new medical literature may have been published. This Medical Policy Bulletin will be reviewed regularly and be updated as scientific and medical literature becomes available. For more information on how Medical Policy Bulletins are developed, go to the About This Site section of this Medical Policy Web site.
SEE ATTACHMENT B FOR ICD-10 CODES THAT ARE USED TO REPRESENT INDICATIONS FOR THE NONWEARABLE AUTOMATIC EXTERNAL DEFIBRILLATOR (AED)
E0617 External defibrillator with integrated electrocardiogram analysis
THE FOLLOWING CODE IS USED TO REPRESENT WEARABLE AED:
K0606 Automatic external defibrillator with integrated electrocardiogram analysis, garment type
THE FOLLOWING CODES ARE USED TO REPRESENT REPLACEMENT SUPPLIES AND ACCESSORIES FOR AN AED:
K0607 Replacement battery for automated external defibrillator, garment type only, each
K0608 Replacement garment for automatic external defibrillator, each
K0609 Replacement electrodes for use with automated external defibrillator, garment type only, each
Policy: 05.00.21t:Durable Medical Equipment (DME) and Consumable Medical Supplies
Policy: 05.00.44k:Repair and Replacement of Durable Medical Equipment (DME)