Chronic Pain Rehabilitation Programs | Aetna | Backwork

Chronic Pain Rehabilitation Programs

Aetna · PayerPolicy · AETNA-CPB-0237

Status: Active
Effective: April 3, 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
96132	CPT	Covered
96133	CPT	Covered
96146	CPT	Covered
99453	CPT	Covered
99454	CPT	Covered
99457	CPT	Covered
99458	CPT	Covered
G89.21	ICD10CM	Covered
G89.3	ICD10CM	Covered
G89.4	ICD10CM	Covered