CMS Proposes Coverage of Transcatheter Aortic Valve Replacement Under Certain Conditions

The Centers for Medicare & Medicaid Services has proposed coverage of transcatheter aortic valve replacement under coverage with evidence development when certain conditions are met.

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The Proposed Coverage Decision Memorandum for TAVR outlines multiple criteria for coverage of TAVR for treatment of severe symptomatic aortic valve stenosis and unlabeled uses of TAVR. The document also proposes conditions for non-coverage of TAVR.  

The proposed requirements for coverage address the type of physician performing the procedure, the facility where the procedure is performed and the patient’s suitability for the procedure.

CMS is seeking public comments on the proposed determination and is particularly interested in comments on the use of CED in the decision.

Related Articles on Hospital Cardiology:

Cardiology Groups Issue Guidelines on Transcatheter Aortic Valve Replacement
American College of Cardiology, Society of Thoracic Surgeons Create Registry for New Transcatheter Valve Therapy

American College of Cardiology Updates Appropriate Use Criteria for Coronary Revascularization

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