National Coverage Determination (NCD)

HIS Bundle Study


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Tracking Information

Publication Number
Manual Section Number
Manual Section Title
HIS Bundle Study
Version Number
Effective Date of this Version

Description Information

Benefit Category
Diagnostic Tests (other)

Please Note: This may not be an exhaustive list of all applicable Medicare benefit categories for this item or service.

Item/Service Description

The HIS Bundle Study is a specialized type of electrocardiography requiring catheterization of the right side of the heart and is a recognized diagnostic procedure.

Indications and Limitations of Coverage

Medicare coverage of the procedure would be limited to selected patients: those with complex ongoing acute arrhythmias, those with intermittent or permanent heart block in whom pacemaker implantation is being considered, and those patients who have recently developed heart block secondary to a myocardial infarction. When heart catheterization and the HIS Bundle Study are performed at the same time, the program will cover only one catheterization and a small additional charge for the study.

When a HIS bundle cardiogram is obtained as part of a diagnostic endocardial electrical stimulation, no separate charge will be recognized for the HIS bundle study.

Cross Reference
See the NCD Manual 20.12

Additional Information

Other Versions
Title Version Effective Between
HIS Bundle Study 1 12/03/1984 - N/A You are here