CPT 0544T: Percutaneous Adjustable Mitral Annulus Reconstruction
CPT code 0544T represents a novel percutaneous transseptal procedure to implant an adjustable annulus device for reconstruction and tightening of a dilated mitral valve annulus to treat mitral regurgitation. As structural heart interventions expand, this code captures a device-based, minimally invasive alternative to open surgical annuloplasty and is relevant for cardiac specialists, payers, and hospitals considering coverage, site-of-service planning, and coding guidance.
Key payers in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication outlines clinical context for the procedure, typical settings where it is performed, and common billing considerations. Readers will find national-level benchmarks where available, summaries of payer coverage considerations, and a concise review of the clinical purpose and procedural intent for CPT code 0544T.
This summary is intended to inform coding teams, revenue cycle managers, and clinical program leads about the code’s purpose and where it fits within structural heart service lines. Data not available in the input is noted where applicable in detailed sections that follow.
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Billing Code Overview
CPT code 0544T describes a percutaneous, catheter-delivered procedure in which the provider inserts an adjustable annulus device across the interatrial septum to reconstruct and tighten a dilated mitral valve annulus to treat mitral regurgitation. The service involves transseptal access and placement of an implanted or implantable device to reduce valve regurgitation by restoring annular geometry.
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Service type: Percutaneous transseptal mitral annulus reconstruction using an adjustable annulus device
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Typical site of service: Hospital inpatient or outpatient cardiac catheterization/interventional cardiology suite or hybrid operating room