Medicare AdvantageCoverageMedium impact
Transcatheter Valve Procedures - Medicare Advantage (Revised)
Humana·Cardiology, Cardiothoracic Surgery·Medicare Advantage
Effective date
Feb 2, 2026
We identified it
Jun 24, 2026
Summary
Humana Medicare Advantage updated their transcatheter valve procedures policy, covering TAVR, TEER, TTVR, and other minimally invasive cardiac valve procedures. This policy revision consolidates coverage determinations and references current CMS National Coverage Determinations for these procedures.
Action Required
Before February 2, 2026: Review updated policy for transcatheter valve procedures to understand coverage determinations. Ensure billing team is aware of FDA-approved devices listed in policy (Edwards Sapien Systems, Medtronic CoreValve Evolut Systems, MitraClip G4, PASCAL Precision, etc.) for proper documentation. Verify procedures follow CMS National Coverage Determinations referenced in policy to prevent claim denials.