News | Heart Valve Technology | August 05, 2016

CMS Changes MitraClip Reimbursement Codes to Widen Patient Access

mitraclip, mitraclip reimbursement

August 5, 2016 — The Centers for Medicare and Medicaid Services (CMS) has reassigned MitraClip transcatheter mitral valve repair procedures to the diagnosis-related group (DRG) codes 228-229 for “Other Cardiothoracic Procedures, with and without major complications or comorbidities (MCCs)." The change is expected to boost reimbursement and allow more Medicare patients to have access to the technology. 

“We commend CMS for this final step to ensure adequate reimbursement for MitraClip,” Abbott said in a statement.  “With this rule, CMS has opened the door for Medicare patients who may benefit from MitraClip to have broader access to the device. We appreciate CMS’s proactive approach in recognition of the substantial benefits of this therapy — from issuing a National Coverage Determination, New Technology Add-on Payment approval, physician reimbursement and now MS-DRG reassignment that will make hospital MitraClip programs sustainable.”

Abbott said the changes demonstrate the government’s commitment to provide access to innovation for seniors and others in the Medicare program.
MitraClip is the only FDA-cleared treatment of its kind for percutaneous mitral valve repair. It is a performed as a beating-heart procedure with no cardiopulmonary bypass required. It allows for real-time positioning and repositioning to optimize mitral regurgitation reduction, and is designed to preserve surgical options.

The ruling can be viewed at

Watch the video "Transcatheter Mitral Valve Repair Technologies."


Related Content

CMS Proposes Overhaul of Medicare's Accountable Care Organization Program
News | Cardiovascular Business | August 09, 2018
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule August 9 that would overhaul the Medicare...
ECRI Institute Announces New Clinical Guideline Repository Website
News | Cardiovascular Business | July 27, 2018
July 27, 2018 — Following the deactivation of the National Guideline Clearinghouse (NGC) by the Agency for Healthcare
FDA Releases New Report Assessing Quality, Safety and Effectiveness of Medical Device Servicing
News | Cardiovascular Business | June 07, 2018
A new report from the U.S. Food and Drug Administration (FDA) discusses the continued quality, safety and effectiveness...
DAIC Editor Dave Fornell won the 2018 AZBEE national silver award for best blog for "The Future of Cardiology: 17 Technologies to Watch. DAIC magazine - diagnostic and interventional cardiology magazine.
News | Cardiovascular Business | May 14, 2018
May 14, 2018 — Diagnostic and Interventional Cardiology (DAIC) magazine was honored with a ...
FDA Announces New Medical Device Safety Action Plan
News | Cardiovascular Business | April 25, 2018
The U.S. Food and Drug Administration (FDA) released a new Medical Device Safety Action Plan outlining how the agency...
DAIC Wins Two 2018 Regional Azbee Awards for Editorial Excellence
Feature | Cardiovascular Business | April 20, 2018
Diagnostic and Interventional Cardiology was honored with a pair of Azbee Awards for editorial excellence at the 2018...
DAIC Editor Dave Fornell displays the 2018 Neal Award for Best Use of Social Media
News | Cardiovascular Business | April 05, 2018
April 5, 2018 — Diagnostic and Interventional Cardiology (DAIC) magazine received the 2018 Jesse H.
Veritas Capital Acquiring Three Software Units from GE Healthcare
News | Cardiovascular Business | April 02, 2018
GE Healthcare announced the sale of its Value-Based Care Division — including its software assets for Enterprise...
The annual Azbee Awards are hosted by the American Society of Business Publication Editors (ASBPE) to recognize editorial and design excellence in the business, trade and specialty press. Dave Fornell won blog award for DAIC
News | Cardiovascular Business | March 08, 2018
Scranton Gillette Communications’ Diagnostic and Interventional Cardiology (DAIC) was recently named a 2018
Fysicon announced its acquisition by Canon Medical Systems Corporation.
News | Cardiovascular Business | March 08, 2018
Fysicon announced its acquisition by Canon Medical Systems Corporation. Linda Elberse, CEO of Fysicon, stated: "Being...
Overlay Init