Attention Deficit/Hyperactivity Disorder | Aetna | Backwork

Attention Deficit/Hyperactivity Disorder

Aetna · PayerPolicy · AETNA-CPB-0426

Status: Active
Effective: February 16, 2024
Last reviewed by Aetna: July 7, 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
90791	CPT	Covered
90792	CPT	Covered
95803	CPT	Covered
95812	CPT	Covered
95813	CPT	Covered
95816	CPT	Covered
95819	CPT	Covered
S8035	HCPCS	Covered
S8040	HCPCS	Covered
F90.0	ICD10CM	Covered
F90.9	ICD10CM	Covered
T01	ICD10CM	Covered