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Surgical Left Atrial Appendage Occlusion Devices for Stroke Prevention in Atrial Fibrillation

Blue Cross & Blue Shield of Mississippi·MS · Cardiology, Cardiothoracic Surgery·Medical Policy
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

This policy update clarifies that surgical left atrial appendage occlusion devices (including the AtriClip device) for stroke prevention in atrial fibrillation patients are considered investigational and not covered. The policy description was updated to provide more detail about available devices, but coverage remains unchanged - these procedures are not covered whether performed as stand-alone procedures or in conjunction with other cardiac surgeries.

Action Required

Action needed
Immediately: Billing team should verify that any claims for surgical left atrial appendage occlusion devices (AtriClip) are properly coded as investigational procedures and expect denials. Ensure providers are aware these procedures are not covered for stroke prevention in atrial fibrillation patients. Document investigational status in billing notes to set appropriate patient expectations regarding coverage.