CommercialCoverageHigh impact
Cardiac Catheter Ablation (CPB 0165)
Aetna·Cardiology, Cardiothoracic Surgery·Surgery
We identified it
Aug 15, 2026
Summary
Aetna's Cardiac Catheter Ablation policy (CPB 0165) outlines medical-necessity criteria for catheter ablation across multiple arrhythmia types and identifies pulsed field ablation as an acceptable alternative to radiofrequency ablation. It also classifies several procedures as experimental or investigational, including alcohol ablation of the vein of Marshall, cardio-neuro-ablation, and non-invasive cardiac radio-ablation.
Action Required
Billing team should review Aetna's medical-necessity criteria and confirm authorization and adjudication rules reflect the covered and investigational procedures. No effective date is stated in the source.