Anesthesia in Cardiac Pacemaker Surgery
The use of general or monitored anesthesia during transvenous cardiac pacemaker surgery may be
reasonable and necessary and therefore covered under Medicare only if adequate documentation of
medical necessity is provided on a case-by-case basis. The Medicare Administrative Contractor
obtains advice from its medical consultants or from appropriate specialty physicians or groups in
its locality regarding the adequacy of documentation before deciding whether a particular claim
should be covered.
A second type of pacemaker surgery that is sometimes performed involves the use of the thoracic method of implantation, which requires open surgery. Where the thoracic method is employed, general anesthesia is always used and should not require special medical documentation.
01/1988 - Deleted existing noncoverage policy for acute myocardial infarction. Effective date 01/16/1988. (TN 21)
07/1988 - Covered use of general or monitored anesthesia during transvenous cardiac pacemaker surgery on a case-by-case basis when adequate documentation of medical necessity is provided. Effective date 07/27/1988. (TN 29)