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MITRACLIP CODING AND PAYMENT GUIDE - …

PHYSICIAN CLAIM CHECKLISTPHYSICIAN CODINGPOLICYUPDATEHOSPITAL INPATIENT CODINGHOSPITAL INPATIENT PAYMENTHOSPITAL CLAIMCHECKLIST1 ReferencesImportant Safety Information | MITRACLIP CODING AND PAYMENT GUIDEM itraClip Transcatheter Mitral Valve RepairINDICATIONS The MITRACLIP NTR/XTR Clip Delivery System is indicated for the percutaneous reduction of significant symptomatic mitral regurgitation (MR 3+) due to primary abnormality of the mitral apparatus [degenerative MR] in patients who have been determined to be at prohibitive risk for mitral valve surgery by a heart team, which includes a cardiac surgeon experienced in mitral valve surgery and a cardiologist experienced in mitral valve disease, and in whom existing comorbidities would not preclude the expected benefit from reduction of the mitral regurgitation.

understanding of any relevant coverage policies and billing requirements. Medicare Advantage Medicare Advantage plans must cover TMVr with the MitraClip™ therapy consistent with the national coverage determination (NCD). ... (33418) or with anesthesia services.

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