Medicare AdvantageCoverageMedium impact
MA11.027f, Transcatheter Cardiac Valve Procedures
Independence Blue Cross·Cardiology, Cardiothoracic Surgery·Medical Policy
Effective date
Mar 19, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA11.027f for Transcatheter Cardiac Valve Procedures has been updated with changes to coverage and/or reimbursement positions. This affects billing and coverage criteria for cardiac valve procedures performed via transcatheter approach.
Action Required
By March 19, 2025: Billing team must review updated MA11.027f policy for transcatheter cardiac valve procedures to understand new coverage and reimbursement requirements. Update prior authorization protocols and billing guidelines for Medicare Advantage patients requiring these cardiac procedures. Coordinate with cardiology providers to ensure compliance with new criteria.