Back Pain - Noninvasive Treatments | Aetna | Backwork

Back Pain - Noninvasive Treatments

Aetna · PayerPolicy · AETNA-CPB-0232

Status: Active
Effective: April 26, 2023
Last reviewed by Aetna: April 23, 2026
Last checked by Backwork: October 1, 2026

Summary of the payer’s published policy. Not a coverage determination — confirm with Aetna before submitting.

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Codes in this policy

Each code’s status is what the policy records for it. This page does not show the policy’s criteria. Read them in the payer’s source.

Codes this policy lists and each code’s status in the policy
Code	Code system	Status in this policy
97012	CPT	Covered
97110	CPT	Covered
97140	CPT	Covered
97530	CPT	Covered
97545	CPT	Covered
97546	CPT	Covered
97750	CPT	Covered
E0830	HCPCS	Covered
K1004	HCPCS	Covered
S9117	HCPCS	Covered
M54.00	ICD10CM	Covered
M54.9	ICD10CM	Covered