Medicare Coverage Updates
For Tricuspid Transcatheter-Edge-to-Edge Repair (T-TEER)
CMS OPENS NATIONAL COVERAGE ANALYSIS (NCA) FOR TRICUSPID TRANSCATHETER EDGE-TO-EDGE REPAIR (TEER) THERAPY
On October 3, 2024, the Centers for Medicare and Medicare Services (CMS) opened a National Coverage Analysis (NCA) and is soliciting public comments on this life-changing therapy. Abbott has requested a National Coverage Determination (NCD) to create national coverage criteria and to ensure long-term, predictable, and consistent coverage for all Medicare beneficiaries.
As part of the NCA opening, CMS has initiated a public comment period. This is an opportunity for all stakeholders (physicians, hospital administrators, patients, professional societies, industry, etc.) to provide feedback to CMS on the importance of the recent evidence on relevant patient characteristics for identifying coverage candidacy for tricuspid TEER.
The final day to enter comments is November 2, 2024. Once this public comment period closes, CMS will review the totality of clinical evidence on tricuspid TEER and the submitted comments to begin the development of a proposed NCD.
If you would like to submit a comment on the CMS website, please use the "Submit Comment to CMS" button below.
If you have reimbursement questions, please contact us or you can call us at (855) 569-6430.
Support is available from 8 a.m. to 5 p.m. Central Time, Monday through Friday.
More information regarding the NCA can be found on the CMS website.
Additionally, you can visit our website for reimbursement resources such as guides, checklists, reimbursement webinars, and prior authorization resources.
To stay updated on CMS policy and other TriClip™ TEER therapy updates, please fill out the form below
MAT-2407762 v1.0 | Item approved for U.S. use only.