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PAYER POLICY CHANGES

33741 Insurance Policy Changes

CPT 33741, in plain terms, covers Transcatheter atrial septostomy, creating or enlarging an opening between the upper heart chambers in congenital heart disease to improve blood mixing. CPT 33741 is referenced in 2 tracked payer policy changes from Aetna. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 33741 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 33741 on AAPC

Watch 33741

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REFERENCE DATA

Payers with rules4
Payers requiring prior auth4
  • BCBS Michigan · Effective October 13, 2026

    Prior authorization required in some cases

    BCBSM and BCN procedure codes for which providers must request prior authorization (commercial lines)

  • CountyCare Health Plan · Effective April 23, 2026

    Prior authorization required in some cases

    CountyCare Prior Authorization Look-Up Tool (All Codes)

  • CalViva Health · Effective December 31, 2025

    Prior authorization required

    CalViva Health CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does BCBS Michigan require prior authorization for 33741?

BCBS Michigan lists 33741 on BCBSM and BCN procedure codes for which providers must request prior authorization (commercial lines) for commercial plans, with conditions (list dated October 13, 2026). Verify with the payer before scheduling.

Does CalViva Health require prior authorization for 33741?

CalViva Health lists 33741 on CalViva Health CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does Community Health Plan of Imperial Valley require prior authorization for 33741?

Community Health Plan of Imperial Valley lists 33741 on Community Health Plan of Imperial Valley CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does CountyCare Health Plan require prior authorization for 33741?

CountyCare Health Plan lists 33741 on CountyCare Prior Authorization Look-Up Tool (All Codes) for medicaid managed plans, with conditions (list dated April 23, 2026). Verify with the payer before scheduling.

What insurance policy changes affect CPT 33741?

There are 2 tracked policy changes affecting CPT 33741, including updates from Aetna. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 33741?

Payers that have issued tracked updates for CPT 33741 include: Aetna.

How do I get notified when CPT 33741 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 33741. You will get an email when new policy changes reference this code: daily or weekly, your choice, on every plan.

Why do payers change policies for CPT 33741?

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.

See every payer rule for 33741

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 33741 in one place.

See every payer rule

RELATED

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