Electrodiagnostic Testing | Aetna | Backwork

Electrodiagnostic Testing

Aetna · PayerPolicy · AETNA-CPB-0502

Status: Active
Effective: August 1, 2023
Last reviewed by Aetna: July 29, 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
95905	CPT	Covered
95940	CPT	Covered
95941	CPT	Covered
G0453	HCPCS	Covered
E08.00	ICD10CM	Covered
E13.39	ICD10CM	Covered
G62.89	ICD10CM	Covered
N18.1	ICD10CM	Covered
N18.9	ICD10CM	Covered
Z76.82	ICD10CM	Covered
Z77.098	ICD10CM	Covered