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

Inpatient and Surgical Care (ISC)

BCBST last reviewed September 14, 2023*

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
    • ...
 

References

  1. BlueCross BlueShield Association. Evidence Positioning System. (6:2023). Implantable cardioverter defibrillators. (7.01.44). Retrieved August 7, 2023 from https://www.bcbsaoca.com/eps/. (95 articles and/or guidelines reviewed)
  2. BlueCross BlueShield of Tennessee network physicians. July - September 2023.