“BCBST
UM Guidelines
Electrophysiologic Study and Implantable Cardioverter-Defibrillator (ICD) Insertion, Transvenous

Inpatient and Surgical Care (ISC)

BCBST last reviewed April 11, 2019*

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

BlueCross BlueShield of Tennessee network physicians. January - April 2019.

Download Acrobat Reader