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CommercialCoverageMedium impact

Surgical Ventricular Restoration

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

Summary

BCBS Mississippi has updated their policy A.7.01.103 regarding Surgical Ventricular Restoration (SVR), maintaining that all SVR procedures remain investigational and non-covered for ischemic dilated cardiomyopathy. The policy includes updated device information including FDA breakthrough designation for the AccuCinch system, but coverage remains denied.

Action Required

Action needed
Immediately: Billing team must continue to deny authorization requests for SVR procedures using CPT 33548 and 0643T, and ICD-10 procedure codes 02RK0JZ, 02UK0JZ, 02RL0JZ, and 02UL0JZ as these remain investigational. Inform providers that all surgical ventricular restoration procedures are non-covered for ischemic dilated cardiomyopathy. Update denial templates to reference policy A.7.01.103 dated April 10, 2025.

Affected Billing Codes

33548

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