Anthem Blue Cross Blue Shield of Georgia policy
Transcatheter Mitral, Pulmonary, and Tricuspid Heart Valve Procedures
Transcatheter Mitral, Pulmonary, and Tricuspid Heart Valve Procedures is a public Anthem Blue Cross Blue Shield of Georgia policy (policy SURG.00121). It lists 15 CPT or HCPCS codes, 10 of them on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage decision; the payer's own document governs.
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- 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 Blue Shield of Georgia prior authorization list.
| Code | Prior authorization | Description on the prior authorization list | Other Anthem Blue Cross Blue Shield of Georgia 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 | On the list | Unlisted procedure, cardiac surgery | Policies naming 33999 |
All Anthem Blue Cross Blue Shield of Georgia policies · Anthem Blue Cross Blue Shield of Georgia prior authorization CPT list