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Medica policy

Transcatheter Heart Valve Replacement and Repair Procedures

Transcatheter Heart Valve Replacement and Repair Procedures is a public Medica policy (effective May 1, 2026). It lists 21 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

View the original policy (PDF) ↗

Payer
Medica
Effective
May 1, 2026
Line of business
Commercial, Medicaid
Source
partner.medica.com

Codes in this policy

The CPT and HCPCS codes the policy names. A policy can name a code it excludes.

CodeOther Medica policies
0345TPolicies naming 0345T
0483TPolicies naming 0483T
0484TPolicies naming 0484T
0543TPolicies naming 0543T
0544TPolicies naming 0544T
0545TPolicies naming 0545T
0569TPolicies naming 0569T
0570TPolicies naming 0570T
33361Policies naming 33361
33362Policies naming 33362
33363Policies naming 33363
33364Policies naming 33364
33365Policies naming 33365
33366Policies naming 33366
33367Policies naming 33367
33368Policies naming 33368
33369Policies naming 33369
33418Policies naming 33418
33419Policies naming 33419
33477Policies naming 33477
93799Policies naming 93799

All Medica policies

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.

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