Billing and Coding: Artificial Hearts and Percutaneous Endovascular Cardiac Assist Procedures and Devices
National · Effective Sep 25, 2025
3 active Medicare policies list 33991, and 11 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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National · Effective Sep 25, 2025
National · Effective Dec 12, 2024
National · Effective Dec 12, 2024
11 policies from 10 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 33991 |
|---|---|---|
| Cigna Commercial Cardiology Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Policy | Effective | Status of 33991 |
|---|---|---|
| Ventricular Assist Devices | Not recorded | Covered |
| Policy | Effective | Status of 33991 |
|---|
| Mechanical Circulatory Assist Devices (Ventricular Assist Devices, Percutaneous Ventricular Assist Devices and Artificial Hearts) | Apr 15, 2026 | Covered |
|---|
| Policy | Effective | Status of 33991 |
|---|---|---|
| Ventricular Assist Devices and Total Artificial Hearts | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 33991 |
|---|---|---|
| Ventricular Assist Devices and Total Artificial Hearts | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 33991 |
|---|---|---|
| Ventricular Assist Devices and Total Artificial Hearts | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 33991 |
|---|---|---|
| Ventricular Assist Devices and Total Artificial Hearts | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 33991 |
|---|---|---|
| Ventricular Assist Device, Total Artificial Heart | Aug 3, 2026 | Covered |
| Policy | Effective | Status of 33991 |
|---|---|---|
| Ventricular Assist Devices and Total Artificial Hearts | Mar 1, 2026 | Covered |
| Policy | Effective | Status of 33991 |
|---|---|---|
| Percutaneous Ventricular Assist Device | Not recorded | Covered |