Aetna in Network Acupuncture-08831.

We are in Network with Aetna insurance plans - Acupuncture 08831.

If your Aetna plan covers Acupuncture for pain - please text me for appointment: (908) 492-1457 - Leon.  

Aetna patients welcome from 12/15/2023 12 noon - according Aetna letter 11/22/2023 (bellow).

For another Health insurance plans - check page "In Network".
For License, Certification and what difference between us and another practitioners - please check page "About".

According Aetna Health Insurance: "Standard Acupuncture Benefits".

Medical Necessity.

"Aetna considers acupuncture (manual or electroacupuncture) medically necessary for any of the following indications:
Chronic (minimum 12 weeks duration) neck pain;  
Chronic (minimum 12 weeks duration) headache;
Low back pain;
Nausea of pregnancy;
Pain from osteoarthritis of the knee or hip (adjunctive therapy);
Post-operative and chemotherapy-induced nausea and vomiting;
Post-operative dental pain;
Temporomandibular disorders (TMD)."

"Maintenance treatment, where the member's symptoms are neither regressing or improving, is considered not medically necessary.
If no clinical benefit is appreciated after four weeks of acupuncture, then the treatment plan should be reevaluated.
Further acupuncture treatment is not considered medically necessary if the member does not demonstrate meaningful improvement in symptoms."

Experimental acupuncture and Investigational acupuncture.

"The following procedures are considered experimental and investigational because the effectiveness of these approaches has not been established: Myofascial pain; Neuropathic pain; Occipital neuralgia; Bell's palsy; Osteoporosis; Painful neuropathies; Carpal tunnel syndrome; Plantar fasciitis; Post-prandial distress syndrome; Tennis elbow / epicondylitis; Tinnitus; Insomnia (including cancer-related insomnia); Fibromyalgia."

Aetna: ICD-10 codes Acupuncture codes which Aetna Insurance recommended.

M16.0 - M16.12 - Primary osteoarthritis of hip
M16.2 - M16.7 Secondary osteoarthritis, hip
M16.9 - Osteoarthritis of hip, unspecified

M17.0 - M17.12 - Osteoarthritis of knee
M17.2 - M17.5 - Secondary osteoarthritis, knee
M17.9 - Osteoarthritis of knee, unspecified
M26.601 - M26.69 - Temporomandibular joint disorders

M54.2 - Cervicalgia [chronic neck pain]
M54.50 - M54.59 - Low back pain
R51.0 - R51.9 - Headache

This is NOT full list. Please check Aetna Insurance original website for your plan specifically.