A cardiac arrhythmia is suspected as the cause of the symptoms and. Mobile cardiovascular telemetry (MCT) (e.g., CardioNet Mobile Cardiac Outpatient Telemetry Service Cardiac Telecom and Health Monitoring Services of America’s Telemetry Home Service Heartbreak ECAT, HEARTLink™ II ECG Arrhythmia Detector and Alarm System by Cardiac Telecom Corporation, LifeStar ACT by LifeWatch®, Inc., a subsidiary of Card Guard Scientific, SAVI®, Telemetry™, Trove® and Zio AT ) when either criteria in 1 or 2 is met:Įvaluation of recurrent unexplained episodes of presyncope, syncope, palpitations or dizziness when both of the following (a and b) are met: To evaluate syncope and lightheadedness in persons with a non-diagnostic Holter monitor or 48 hour telemetry, or in persons whose symptoms occur infrequently (less frequently than daily) such that the arrhythmia is unlikely to be diagnosed by Holter monitoring.Īetna considers external loop recorders experimental and investigational for all other indications because their effectiveness for indications other than the ones listed above has not been established.To document the results after an ablation procedure for arrhythmia or.To document the recurrence of an arrhythmia after discontinuation of drug therapy or.To document the benefit after initiating drug therapy for an arrhythmia or.To document ST segment depression for suspected ischemia or.To document a suspected arrhythmia in persons with a non-diagnostic Holter monitor or 48 hour telemetry (e.g., suspected atrial fibrillation as cause of cryptogenic stroke), or in persons whose symptoms occur infrequently (less frequently than daily) such that the arrhythmia is unlikely to be diagnosed by Holter monitoring (see CPB 0019 - Holter Monitors) or.External Intermittent Cardiac Event MonitorsĮxternal intermittent cardiac event monitors (i.e., external loop recorders) and external intermittent cardiac event monitors with real-time data transmission and analysis (e.g., eCardio eVolution) for any of the following conditions:.This Clinical Policy Bulletin addresses cardiac event monitors.Īetna considers the following cardiac event monitors medically necessary when applicable criteria are met: Mobile Cardiac Telemetry Monitor Comparison.Number: 0073 Table Of Contents Policy Applicable CPT / HCPCS / ICD-10 Codes Background References.Another well known name is the ECAT (External Cardiac Ambulatory Telemetry). LifeWatch is the second largest player in Mobile Cardiac Telemetry making their ACT name well known. For example, there is the Lifewatch ACT monitor which stands for Ambulatory Cardiac Telemetry. Since there are several companies out there that offer Mobile Cardiac Telemetry monitors have created other acronyms to distinguish their version of Mobile Cardiac Telemetry. MCOT is a common used acronym as CardioNet was a major sponsor of various clinical literature documenting the diagnostic utility of their model MCT monitor called the MCOT™. MCOT™ is a trademarked version (or name) by CardioNet which stands for Mobile Cardiac Outpatient Telemetry. For example, CardioNet was the first company to introduce this technology has a trademark on the acronym MCOT™. There is some confusion in the marketplace as to what to call or reference this technology in large part because many of the companies have created their own acronyms for their individual products. Mobile Cardiac Telemetry (MCT) is the industry term (name) to describe long term, real time, outpatient ECG monitoring technology with the capability to automatically detect and transmits relevant ECG information to a diagnostic laboratory.
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