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Catheter Ablation Procedures for Supraventricular Tachyarrhythmias (SVTA)

Catheter ablation is a procedure used to treat some types of heart arrhythmias, most commonly those tachyarrhythmias that originate above the ventricles. These SVTAs can be categorized by the origin of the tachyarrhythmia.

  • Atrial tachyarrhythmias initiate within the atrium:
    • sinus tachycardia,
    • atrial tachycardia,
    • macroreentrant atrial tachycardia (i.e., atrial flutter), and
    • atrial fibrillation.
  • Atrioventricular tachyarrhythmias originate within the atrioventricular (AV) node or the surrounding area:
    • AV nodal reentrant tachycardia,
    • AV reentrant tachycardia, which includes Wolf-Parkinson-White Syndrome,
    • focal junctional ectopic tachycardia, and
    • nonparoxysmal junctional tachycardia.                           

Catheter ablation is typically performed in a catheter lab and involves guided insertion of catheters from the arm, groin, or neck through the blood vessel and into the heart.

Coverage decision: Covered with conditions (Effective date: July 1, 2014).

Authorization requirements


Is authorization required?

How do I get pre-authorization?

Yes

L&I (State fund):
Utilization Review provided by Qualis

Self-insured:
Contact the employer or its third party administrator

 

Regulatory authority and related information

 

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