Traditional MedicareCoverageMedium impact
Transcatheter Edge-to-Edge Repair for Tricuspid Valve Regurgitation (T-TEER)
Medicare/CMS - NCD·Cardiology, Cardiothoracic Surgery·National Coverage Determination
Effective date
Jun 2, 2026
We identified it
Jun 17, 2026
Summary
CMS has issued a new National Coverage Determination (NCD 20.38) for Transcatheter Edge-to-Edge Repair for Tricuspid Valve Regurgitation (T-TEER). This establishes Medicare coverage criteria for this cardiac procedure, which may require specific documentation and prior authorization requirements.
Action Required
By June 2, 2026: Billing team must review the full NCD 20.38 policy at cms.gov/medicare-coverage-database to understand coverage criteria for T-TEER procedures. Cardiology providers should update documentation templates to ensure compliance with Medicare requirements. Verify if prior authorization is required before scheduling T-TEER procedures.