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CMS Proposes Coverage Policy For Transcatheter Edge-to-Edge Mitral Valve Repair

 
• By Reed Miller

In a new draft National Coverage Determination, the US Medicare agency proposes extending coverage of transcatheter mitral valve repair to certain patients with functional mitral regurgitation.

Vascular-Mitraclip
Abbott Laboratories' MitraClip Transcatheter Edge-To-Edge Mitral Valve Repair Device • Source: Abbott Laboratories

The Centers for Medicare and Medicaid Services plan to provide Medicare coverage of mitral valve transcatheter edge-to-edge repair (TEER) in certain patients with heart failure and secondary mitral valve regurgitation, also known as functional mitral valve regurgitation.

“CMS is proposing to extend coverage of TEER to Medicare beneficiaries with moderate to severe or severe secondary [mitral regurgitation] under select conditions designed to address gaps in existing evidence...

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