UM Guidelines
Electrophysiologic Study and Implantable Cardioverter-Defibrillator (ICD) Insertion

Inpatient and Surgical Care (ISC)

BCBST last reviewed April 8, 2021*

Deleted:
   
 

There were no deletions.


Added to: Clinical Indications
   
  • Insertion of implantable cardioverter-defibrillator (ICD) with possible electrophysiologic study is indicated by...
    • Device is 1 or more of the following:
      • Transvenous implantable cardioverter-defibrillator (ICD) with possible electrophysiologic study
      • Subcutaneous implantable cardioverter-defibrillator (S-ICD) is indicated when pacemaker, resynchronization, anti-tachycardia pacing or remote monitoring are not required
    • ...
 
Added to: Hospitalization - Goal Length of Stay
   
Goal Length Of Stay: Begin as Observation
 

References

  1. BlueCross BlueShield Association. Evidence Positioning System. (6:2020). Implantable cardioverter defibrillators. (7.01.44). Retrieved August 18, 2020 from https://www.evidencepositioningsystem.com/. (95 articles and/or guidelines reviewed)
  2. BlueCross BlueShield of Tennessee network physicians. January - April 2021.

 

Download Acrobat Reader