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January 01, 2023

CardioMEMS HF System coverage update

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.

Impacted plans

These changes affect UnitedHealthcare Commercial, Medicare, Community and Exchange Plan members.

Omnibus policy

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.

Questions?

Contact Provider Services at 866-416-6594 for more information.

CPT® is a registered trademark of the American Medical Association.
PCA-1-22-03679-VC-News_12072022
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