Changes to coverage related to cardiovascular codes
Effective April 1, 2023, we will require prior authorization for CardioMEMS™ HF System (CPT® codes 33289 and C2624). The CardioMEMS HF System is unproven and not medically necessary due to insufficient evidence of safety and/or efficacy.
These changes affect UnitedHealthcare Commercial, Medicare, Community and Exchange Plan members.
As of April 1, 2023, we’ll add the CPT codes (33289, 93264 and C2624) related to the CardioMEMS HF System to the Omnibus policy, which outlines CPT codes for services that are unproven, show a track record of limited effectiveness or are not a medical necessity.
Contact Provider Services at 866-416-6594 for more information.
CPT® is a registered trademark of the American Medical Association.