Medicare AdvantageCoverageMedium impact
MA11.027e, Transcatheter Aortic Valve Replacement (TAVR) and Transcatheter Edge-to-Edge Repair (TEER) of the Mitral Valve
Independence Blue Cross·Cardiology, Cardiothoracic Surgery·Medical Policy
Effective date
Apr 2, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA11.027e for Transcatheter Aortic Valve Replacement (TAVR) and Transcatheter Edge-to-Edge Repair (TEER) of the Mitral Valve has been reissued with updates effective April 2, 2025. This policy change affects coverage criteria for these advanced cardiac procedures under Medicare Advantage plans.
Action Required
By April 2, 2025: Billing team must review the updated policy MA11.027e for TAVR and TEER procedures to understand new coverage criteria and documentation requirements for Medicare Advantage patients. Access the full policy at the provided URL to identify specific billing and prior authorization changes that may affect cardiac procedure claims.