Cardiac Services Procedure Codes

TurningPoint Healthcare Solutions, LLC (TurningPoint) performs Prior Authorization or Medical Necessity Determination (PA/MND) reviews of the services represented by the CPT® and HCPCS codes listed below as part of our Surgical and Implantable Device Management Program.

Please note that the cardiac procedure codes listed below apply to the Surgical and Implantable Device Management Programs offered for both Horizon BCBSNJ and Horizon NJ Health patients.

This content was last revised on January 30, 2023 and may be subject to change.

Recent/Upcoming Changes

• For services to be provided on and after March 1, 2023, TurningPoint will also perform PA/MND of the services represented by procedure codes C7537, C7538, C7539 and C7540 as part of this program.
• Procedure code 33224 is effective September 19, 2022 as part of this program.

TurningPoint Healthcare Solutions, LLC supports Horizon Blue Cross Blue Shield of New Jersey and Horizon NJ Health in the administration and utilization management review of certain surgical services that require the use of an implantable device for coverage. TurningPoint Healthcare Solutions, is independent from, and not affiliated with Horizon Blue Cross Blue Shield of New Jersey or the Blue Cross Blue Shield Association.

CPT® is a registered trademark of the American Medical Association.