Treatments to Control Drooling (Sialorrhea) | Aetna

Treatments to Control Drooling (Sialorrhea)

Aetna · PayerPolicy · AETNA-CPB-0265

Status: Active
Effective: April 26, 2023
Last reviewed by Aetna: April 16, 2026
Last checked by Backwork: August 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
42440	CPT	Covered
42507	CPT	Covered
42509	CPT	Covered
42510	CPT	Covered
42665	CPT	Covered
69676	CPT	Covered
D7981	HCPCS	Covered
D7981	ICD10CM	Covered
K11.1	ICD10CM	Covered
K11.7	ICD10CM	Covered