CommercialCoverageMedium impact
New policy
Blue Cross Blue Shield of Rhode Island·RI · Cardiology, Cardiothoracic Surgery·Physician / Facility
Effective date
Feb 1, 2026
We identified it
Jun 19, 2026
Summary
BCBS Rhode Island has created a new medical policy for Transcatheter Tricuspid Valve Repair or Replacement (T-TEER or TTVR) procedures. This policy will establish coverage criteria and billing guidelines for these specialized cardiac procedures, with varying effective dates that require review of the full policy text.
Action Required
Immediately: Billing team must access the Provider section of BCBSRI.com under Medical Policies heading to review the complete T-TEER/TTVR policy text. Check specific effective dates, coverage criteria, prior authorization requirements, and applicable CPT codes for transcatheter tricuspid valve procedures. Update billing workflows and staff training accordingly.