Prior Auth Required

0484T - Transcatheter mitral valve Prior Authorization Required Medical Necessity Submit history and physical

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceTranscatheter mitral valve Prior Authorization Required Medical Necessity Submit history and physical
Procedure / Service Description

implantation/replacement (TMVI) with documentation of medical necessity and - including transseptal puncture, when performed 0484T Transcatheter mitral valve Prior Authorization Required Medical Necessity Submit history and physical, implantation/replacement (TMVI) with documentation of medical necessity and prosthetic valve; transthoracic exposure procedure report.

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.