Implantable Loop Recorders and Cardiac Self-Monitoring Devices
This policy governs medical necessity and coverage of implantable loop recorders (ILRs) and consumer cardiac self-monitoring devices for members covered under UnitedHealthcare Community Plan in Louisiana.
Removed language indicating ambulatory event monitoring (Holter, event, patch) and outpatient cardiac telemetry are proven and medically necessary for evaluating suspected cardiac arrhythmias.
Replaced wording about wearable heart rhythm monitors to explicitly state that wearable heart rhythm monitors or cardiac self-monitoring devices commercially available to the general public and purchased for home use are not medically necessary.
Removed several CPT codes from the Applicable Codes section (list of specific codes removed).
Added notation that CPT code 0902T is not on the State of Louisiana Medicaid Fee Schedule and therefore may not be covered by that program.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.