Medicare AdvantageCoverageMedium impact
MA11.027g, Transcatheter Cardiac Valve Procedures
Independence Blue Cross·Cardiology, Cardiothoracic Surgery·Medical Policy
Effective date
Jul 2, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA11.027g for transcatheter cardiac valve procedures has been updated with changes to coverage and/or reimbursement positions. This affects billing and coverage determination for cardiac valve replacement procedures performed via transcatheter approach.
Action Required
Before July 2, 2025: Billing team must review the complete policy MA11.027g at the provided URL to understand specific coverage and reimbursement changes for transcatheter cardiac valve procedures. Update prior authorization requirements and billing guidelines in system accordingly. Coordinate with cardiology providers to ensure compliance with new coverage criteria.