Prior Auth Required

0569T - Transcatheter tricuspid valve repair – initial prosthesis All

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceTranscatheter tricuspid valve repair – initial prosthesis All
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - Biofeedback (behavioral health & medical conditions) 90912, 90913 All Subcutaneous hormone pellets 11980, J3490, S0189 All Transcatheter tricuspid valve repair – initial prosthesis 0569T All Transcatheter tricuspid valve repair – each additional prosthesis 0570T All Autologous adipose derived cellular implant for knee OA – injection 0566T All

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.