Payer PolicyActive
Catheter Ablation for Atrial Fibrillation – Commercial and Individual Exchange Medical Policyopen_in_new
UHC-POL-catheter-ablation-atrial-fibrillation
UnitedHealthcare
Effective: May 1, 2025
Updated: December 6, 2025
created · Nov 30, 2025
Policy Summary
UnitedHealthcare considers catheter ablation for atrial fibrillation proven and medically necessary for adults in specified situations but excludes members under 18 and arrhythmias other than atrial fibrillation. Coverage requires meeting InterQual® CP electrophysiology ablation criteria, review of member-specific benefit documents and medical-record documentation (which may be required), and inclusion of CPT codes or FDA approval does not by itself guarantee coverage.
Coverage Criteria Preview
Key requirements from the full policy
"The inclusion of a code does not imply that the service described by the code is a covered or non-covered health service."
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