Payer PolicyActive
Ventricular Remodeling Operation (Batista Procedure) and Surgical Ventricular Restoration (Dor Procedure)
AETNA-CPB-0182
Aetna
Effective: April 15, 2025
Updated: December 6, 2025
created · Dec 2, 2025
Policy Summary
Aetna considers the Batista partial left ventriculectomy, the Dor surgical ventricular restoration, and the Acorn CorCap cardiac support device experimental, investigational, or unproven and does not cover them. CPT codes 0643T, 33542, and 33548 are not covered for these indications because their effectiveness has not been established.
Coverage Criteria Preview
Key requirements from the full policy
"Aetna considers the following procedures as experimental, investigational, or unproven because the effectiveness of these approaches has not been established:"
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