Transcatheter Valve Procedures - Medicare Advantage

This policy covers transcatheter (percutaneous) cardiac valve procedures—including TAVR/TAVI, transcatheter edge‑to‑edge repair (TEER/T‑TEER), and transcatheter tricuspid valve replacement (TTVR)—for valve replacement or repair. It applies to patients with conditions such as severe aortic stenosis, symptomatic mitral or tricuspid regurgitation or stenosis who are assessed (typically by a heart team including a cardiac surgeon and interventional cardiologist) as at risk for open‑heart surgery and requires preimplant imaging (CTA preferred; TTE/TEE as appropriate); however, this document contains no explicit coverage criteria or exclusions and directs users to CMS NCDs/LCDs/LCAs for current coverage limitations and requirements.

"No explicit covered indications, diagnoses, conditions, or clinical scenarios are present in the provided document text. The provided text contains only the policy header/table of contents and inst..."