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CMS adds reimbursement for cardiac ablation in ASCs

November 24, 2025 By Sean Whooley

This image shows the variety of shapes and sizes of pulsed field ablation catheters, showing from top to bottom catheteres used in Boston Scientific's Farapulse, Medtronic's Affera, Medtronic's Pulse Select, J&J's Varipulse, and Abbott's Volt.
Pulsed field ablation catheters shown here are for (from top to bottom) Boston Scientific’s Farapulse, Medtronic’s Affera, Medtronic’s Pulse Select, J&J’s Varipulse, and Abbott’s Volt. [Image courtesy of the companies]
The Centers for Medicare and Medicaid Services (CMS) has provided a major reimbursement update for cardiac ablation technologies.

In its 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System final rule, CMS added cardiac catheter ablation procedures to its ASC-covered procedures list. This follows advocacy efforts from a range of stakeholders to enable ablation services in the fast-rising ASC setting.

ASCs continue to rise in popularity as an alternative to traditional inpatient care in hospital settings. They deliver same-day outpatient care as a potentially more convenient, cost-effective option. Companies in a range of spaces, such as orthopedics and surgical robotics, continue to target ASCs for their offerings.

CMS’ covered procedure list (CPL) now includes cardiac ablation for ASCs, effective Jan. 1, 2026.

The decision could benefit a number of companies offering cardiac ablation technologies. Those include the current leaders in pulsed field ablation (PFA), Medtronic, Boston Scientific and Johnson & Johnson MedTech.

Analysts recently outlined Boston Scientific’s effort to become the top player in the electrophysiology space with its Farapulse platform, while Medtronic’s recent quarterly results highlighting significant growth from its own PFA platform.

Johnson & Johnson MedTech, maker of the Varipulse platform, lauded the reimbursement decision on social media. On LinkedIn, the company said it remains committed to “sharping the future of ASC-based cardiac care.” Its resources include purpose-built staff training, dedicated clinical and technical support and experts in reimbursement and health economics.

“Our integrated product portfolio is designed to enable physicians with the tools needed to deliver safe, efficient, and economically sustainable arrhythmia care in ASC settings,” the company said.

Filed Under: Applications, Business, Cardiology, Catheters, Pulsed Field Ablation, Technologies & Devices Tagged With: Boston Scientific, Centers for Medicare and Medicaid Services (CMS), CMS, johnson & johnson medtech, medtronic

About Sean Whooley

Sean Whooley is an associate editor who mainly produces work for MassDevice, Medical Design & Outsourcing and Drug Delivery Business News. He received a bachelor's degree in multiplatform journalism from the University of Maryland, College Park. You can connect with him on LinkedIn or email him at swhooley@wtwhmedia.com.

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