A NONWEARABLE DEVICE (E0617) IS MEDICALLY NECESSARY WHEN REPORTED WITH THE FOLLOWING DIAGNOSIS CODES:
I21.01 ST elevation (STEMI) myocardial infarction involving left main coronary artery
I21.02 ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery
I21.09 ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall
I21.11 ST elevation (STEMI) myocardial infarction involving right coronary artery
I21.19 ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall
I21.21 ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery
I21.29 ST elevation (STEMI) myocardial infarction involving other sites
I21.3 ST elevation (STEMI) myocardial infarction of unspecified site
I21.4 Non-ST elevation (NSTEMI) myocardial infarction
I21.9 Acute myocardial infarction, unspecified
I21.A1 Myocardial infarction type 2
I21.A9 Other myocardial infarction type
I21.B Myocardial infarction with coronary microvascular dysfunction
I22.0 Subsequent ST elevation (STEMI) myocardial infarction of anterior wall
I22.1 Subsequent ST elevation (STEMI) myocardial infarction of inferior wall
I22.2 Subsequent non-ST elevation (NSTEMI) myocardial infarction
I22.8 Subsequent ST elevation (STEMI) myocardial infarction of other sites
I22.9 Subsequent ST elevation (STEMI) myocardial infarction of unspecified site
I25.2 Old myocardial infarction
I42.1 Obstructive hypertrophic cardiomyopathy
I42.2 Other hypertrophic cardiomyopathy
I45.81 Long QT syndrome
I46.2 Cardiac arrest due to underlying cardiac condition
I46.8 Cardiac arrest due to other underlying condition
I46.9 Cardiac arrest, cause unspecified
I47.0 Re-entry ventricular arrhythmia
I47.20 Ventricular tachycardia, unspecified
I47.21 Torsades de pointes
I47.29 Other ventricular tachycardia
I49.01 Ventricular fibrillation
I49.02 Ventricular flutter
T82.110A Breakdown (mechanical) of cardiac electrode, initial encounter
T82.110D Breakdown (mechanical) of cardiac electrode, subsequent encounter
T82.110S Breakdown (mechanical) of cardiac electrode, sequela
T82.111A Breakdown (mechanical) of cardiac pulse generator (battery), initial encounter
T82.111D Breakdown (mechanical) of cardiac pulse generator (battery), subsequent encounter
T82.111S Breakdown (mechanical) of cardiac pulse generator (battery), sequela
T82.118A Breakdown (mechanical) of other cardiac electronic device, initial encounter
T82.118D Breakdown (mechanical) of other cardiac electronic device, subsequent encounter
T82.118S Breakdown (mechanical) of other cardiac electronic device, sequela
T82.119A Breakdown (mechanical) of unspecified cardiac electronic device, initial encounter
T82.119D Breakdown (mechanical) of unspecified cardiac electronic device, subsequent encounter
T82.119S Breakdown (mechanical) of unspecified cardiac electronic device, sequela
T82.120A Displacement of cardiac electrode, initial encounter
T82.120D Displacement of cardiac electrode, subsequent encounter
T82.120S Displacement of cardiac electrode, sequela
T82.121A Displacement of cardiac pulse generator (battery), initial encounter
T82.121D Displacement of cardiac pulse generator (battery), subsequent encounter
T82.121S Displacement of cardiac pulse generator (battery), sequela
T82.128A Displacement of other cardiac electronic device, initial encounter
T82.128D Displacement of other cardiac electronic device, subsequent encounter
T82.128S Displacement of other cardiac electronic device, sequela
T82.129A Displacement of unspecified cardiac electronic device, initial encounter
T82.129D Displacement of unspecified cardiac electronic device, subsequent encounter
T82.129S Displacement of unspecified cardiac electronic device, sequela
T82.190A Other mechanical complication of cardiac electrode, initial encounter
T82.190D Other mechanical complication of cardiac electrode, subsequent encounter
T82.190S Other mechanical complication of cardiac electrode, sequela
T82.191A Other mechanical complication of cardiac pulse generator (battery), initial encounter
T82.191D Other mechanical complication of cardiac pulse generator (battery), subsequent encounter
T82.191S Other mechanical complication of cardiac pulse generator (battery), sequela
T82.198A Other mechanical complication of other cardiac electronic device, initial encounter
T82.198D Other mechanical complication of other cardiac electronic device, subsequent encounter
T82.198S Other mechanical complication of other cardiac electronic device, sequela
T82.199A Other mechanical complication of unspecified cardiac device, initial encounter
T82.199D Other mechanical complication of unspecified cardiac device, subsequent encounter
T82.199S Other mechanical complication of unspecified cardiac device, sequela
T82.6XXA Infection and inflammatory reaction due to cardiac valve prosthesis, initial encounter
T82.6XXD Infection and inflammatory reaction due to cardiac valve prosthesis, subsequent encounter
T82.6XXS Infection and inflammatory reaction due to cardiac valve prosthesis, sequela
T82.7XXA Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, initial encounter
T82.7XXD Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter
T82.7XXS Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, sequela
