All PlansCoverageMedium impact
Transcatheter Mitral Valve Repair
Blue Cross Blue Shield of Rhode Island·RI · Cardiology, Cardiothoracic Surgery·Physician / Facility
Effective date
Apr 1, 2020
We identified it
Jun 19, 2026
Summary
BCBS Rhode Island updated their Transcatheter Mitral Valve Repair policy effective April 1, 2020, adding new code 0544T and revising medical necessity criteria. Billing teams should review the full policy text for updated coverage requirements.
Action Required
Immediately: Billing team must review the full Transcatheter Mitral Valve Repair policy at the provided URL to understand revised medical necessity criteria for code 0544T. Update billing system to include new code 0544T for transcatheter mitral valve repair procedures. Ensure providers are aware of updated documentation requirements for medical necessity.