Anthem Blue Cross and Blue Shield Virginia policy
Transcatheter Mitral, Pulmonary, and Tricuspid Heart Valve Procedures
Transcatheter Mitral, Pulmonary, and Tricuspid Heart Valve Procedures is a public Anthem Blue Cross and Blue Shield Virginia policy (policy SURG.00121). It lists 15 CPT or HCPCS codes, 9 of them on the Anthem Blue Cross and Blue Shield Virginia prior authorization list. Not a coverage decision; the payer's own document governs.
- Policy number
- SURG.00121
- Line of business
- Commercial
- Source
- www.anthem.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes. Prior authorization status is from the Anthem Blue Cross and Blue Shield Virginia prior authorization list.
| Code | Prior authorization | Description on the prior authorization list | Other Anthem Blue Cross and Blue Shield Virginia policies |
|---|---|---|---|
| 0345T | On the list | Transcatheter mitral valve repair percutaneous approach via the coronary sinus | Policies naming 0345T |
| 0483T | On the list | Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed | Policies naming 0483T |
| 0484T | On the list | Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; transthoracic exposure (eg, thoracotomy, transapical) | Policies naming 0484T |
| 0544T | On the list | Transcatheter mitral valve annulus reconstruction, with implantation of adjustable annulus reconstruction device, percutaneous approach including transseptal puncture | Policies naming 0544T |
| 0545T | On the list | Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device, percutaneous approach | Policies naming 0545T |
| 0569T | On the list | Transcatheter tricuspid valve repair, percutaneous approach; initial prosthesis | Policies naming 0569T |
| 0570T | Not listed | Policies naming 0570T | |
| 0646T | On the list | Transcatheter tricuspid valve implantation/replacement (TTVI) with pro | Policies naming 0646T |
| 33367 | Not listed | Policies naming 33367 | |
| 33368 | Not listed | Policies naming 33368 | |
| 33369 | Not listed | Policies naming 33369 | |
| 33418 | On the list | Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; initial prosthesis | Policies naming 33418 |
| 33419 | Not listed | Policies naming 33419 | |
| 33477 | On the list | Transcatheter pulmonary valve implantation, percutaneous approach, including pre-stenting of the valve delivery site, when performed | Policies naming 33477 |
| 33999 | Not listed | Policies naming 33999 |
All Anthem Blue Cross and Blue Shield Virginia policies · Anthem Blue Cross and Blue Shield Virginia prior authorization CPT list