What insurance policy changes affect CPT 33361?

There are 8 tracked policy changes affecting CPT 33361, including updates from Independence Blue Cross, Aetna. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 33361?

Payers that have issued tracked updates for CPT 33361 include: Independence Blue Cross, Aetna.

How do I get notified when CPT 33361 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 33361. You will receive a daily digest email whenever a new policy change references this code.

Why do payers change policies for CPT 33361?

Payers revise policies for individual billing codes to align with updated clinical guidelines, CMS rule changes, fraud and abuse prevention measures, or network cost-management goals. Changes can affect medical necessity criteria, place-of-service restrictions, bundling rules, or whether a code requires prior authorization.

33361 — Replacing the aortic valve through a catheter inserted through the skin without surgery.: Insurance Policy Changes

33361 Insurance Policy Changes

CPT 33361, in plain terms, covers Replacing the aortic valve through a catheter inserted through the skin without surgery. CPT 33361 is referenced in 8 tracked payer policy changes from Independence Blue Cross and Aetna. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 33361 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

High impact

Transcatheter Aortic Valve Implantation (CPB 0826, reviewed 2025-12-03)

Aetna·Effective Dec 3, 2025

Aetna's TAVI (Transcatheter Aortic Valve Implantation) policy CPB 0826 establishes coverage criteria for multiple valve replacement approaches with specific FDA-approved devices and clinical risk thresholds. The policy clearly delineates covered procedures (TAVI for high-risk/inoperable patients, valve-in-valve replacements, paravalvular leak repairs) from non-covered experimental procedures (BASILICA, embolic protection devices, pre-implant balloon valvuloplasty). Billing teams must verify patient risk scores, device types, and clinical indications before claim submission to ensure medical necessity.

33361 Insurance Policy Changes

MA11.027h, Transcatheter Cardiac Valve Procedures

Cardiac Rehabilitation: Outpatient (CPB 0021, reviewed 2026-03-10)

Transcatheter Aortic Valve Implantation (CPB 0826, reviewed 2025-12-03)

MA11.027g, Transcatheter Cardiac Valve Procedures

MA11.027g, Transcatheter Cardiac Valve Procedures

11.02.25k, Transcatheter Cardiac Valve Procedures

11.02.25j, Transcatheter Cardiac Valve Procedures

11.02.25j, Transcatheter Cardiac Valve Procedures