Cardiology policy updates
Track new and updated Cardiology policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Implantable Wireless Pulmonary Artery Pressure Monitoring | Ambetter Nevada | Clinical | Cardiology | Modified | Jun 1, 2026 |
| Outpatient Cardiac Rehabilitation | Ambetter Nevada | Clinical | Cardiology | Modified | Jun 1, 2026 |
| Cardiac Biomarker Testing (troponin, CK-MB, myoglobin) | Ambetter Nevada | Clinical | Cardiology | Modified | Apr 1, 2026 |
| Holter Monitors (up to 48 hours) | Ambetter Nevada | Clinical | Cardiology | Modified | Apr 1, 2026 |
| Holter Monitors (ambulatory ECG up to 48 hours) | Ambetter Nevada | Clinical | Cardiology | Modified | Apr 1, 2026 |
| Implantable Loop Recorder (ILR/ICM) Coverage Criteria | Ambetter Nevada | Clinical | Cardiology | Modified | Feb 1, 2026 |
| Ventricular Assist Devices (VADs) | Ambetter Nevada | Clinical | Cardiology | Modified | Feb 1, 2026 |
| Total Artificial Heart (TAH) Coverage Criteria | Ambetter Nevada | Clinical | Cardiology | Modified | Nov 1, 2025 |
| Concert Genetic Testing: Cardiovascular | Ambetter Nevada | Clinical | Cardiology | Modified | — |
| Implantable Loop Recorder | Ambetter Nevada | Clinical | Cardiology | Modified | — |
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OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.
OpenPayer by Trek Health — Policy intelligence for billing and revenue cycle teams.
Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.