G0451 Insurance Policy Changes

Early Intervention Programs (CPB 0444, reviewed 2026-07-01)

Aetna's Early Intervention Programs policy (CPB 0444) clarifies coverage for developmental screening and therapeutic services for children birth to age 3 with developmental delays. Specific speech/language evaluation codes (92521-92524) are not covered under this policy, but related developmental screening, testing, and therapeutic procedure codes may be covered when medically necessary. Billing teams must verify eligibility based on state mandates and plan sponsor provisions, as coverage varies by state and individual plan design.