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  • Icd Registry V3 - Data Collection Form - Leads Only. Generator & Leads Data Collection Form

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Data Collection Form v2.2 Leads Only A. DEMOGRAPHICS Last Name2000: SSN2030: First Name2010: Birth Date 2050: Race: (check all that apply) SSN N/A2031 Patient ID2040: Sex2060: mm / dd / yyyy Middle.

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Since January 2005, providers have been required to submit registry data when implanting implantable cardioverter defibrillators (ICDs) in Medicare beneficiaries for the primary prevention of sudden cardiac arrest.

The check itself takes between 15 and 45 minutes depending on the type of device implanted, and involves lying on a couch with ECG electrodes attached to the wrists and ankles, and a programmer placed over the site of the device.

Medicare provides coverage for implantable cardioverter defibrillators (ICDs) for certain patients and clinical indications. Detailed descriptions of the covered indications are available in the National Coverage Determination (NCD).

The National Cardiovascular Data Registry (NCDR®) is the ACC's suite of cardiovascular data registries helping hospitals and private practices measure and improve the quality of care they provide.

ICDs are expensive devices, with acquisition prices in the USA ranging from ∼$18 000 for the simplest devices to over $35 000 for ICDs with biventricular pacing capabilities.

The ICD Registryâ„¢ is a nationwide quality program that helps participating hospitals measure and improve care for patients receiving implantable cardioverter defibrillators (ICDs) and cardiac resynchronization therapy devices with defibrillator (CRT-Ds).

You may need an ICD if you have survived sudden cardiac arrest due to ventricular fibrillation, or have fainted due to ventricular arrhythmia, or if you have certain inherited heart conditions. An ICD is generally needed for those at high risk of cardiac arrest due to a ventricular arrhythmia.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232