Traditional MedicareCoverageMedium impact
Transcatheter Tricuspid Valve Replacement (TTVR)
Medicare/CMS - NCD·Cardiology, Cardiothoracic Surgery·National Coverage Determination
Effective date
Jun 2, 2026
We identified it
Jun 17, 2026
Summary
Medicare has established a new National Coverage Determination (NCD 20.37) for Transcatheter Tricuspid Valve Replacement (TTVR), defining coverage criteria for this cardiac procedure. This creates new billing guidelines and coverage requirements for TTVR procedures under Medicare.
Action Required
By June 2, 2026: Billing team must review the complete NCD 20.37 policy at cms.gov to understand specific coverage criteria, documentation requirements, and any prior authorization needs for TTVR procedures. Update billing protocols and ensure providers understand Medicare coverage requirements for tricuspid valve replacement cases.