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Transmyocardial Revascularization

Blue Cross & Blue Shield of Mississippi·MS · Cardiology, Cardiothoracic Surgery·Medical Policy
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

BCBS Mississippi updated their Transmyocardial Revascularization policy defining specific coverage criteria for TMR procedures. The policy covers TMR for class III/IV angina patients not eligible for CABG/PTCA who meet strict medical criteria, but considers percutaneous TMR investigational.

Action Required

Action needed
Billing team should review TMR claims to ensure they meet the specific medical necessity criteria: class III/IV angina refractory to medical management, documented reversible ischemia, left ventricular ejection fraction >30%, no recent MI/unstable angina within 21 days, and no severe COPD. Note that CPT 33141 is covered when used as adjunct to CABG but not separately billable, while percutaneous TMR remains investigational.

Affected Billing Codes

33141
33400
33496
33542
33999