Hypertensive Disorders of Pregnancy (CPB 0368, reviewed 2026-05-22)
Aetna considers obstetrical hypertension programs experimental, investigational, or unproven because they have not been proven to be more effective than member self-management performed in concert with supervision by an obstetrician in reducing fetal or maternal morbidity and mortality. Aetna also considers PEPredictDx, a test for identifying women at high risk for pre-eclampsia, experimental, investigational, or unproven. CPT code 0390U and HCPCS codes S9211, S9212, and S9213 (home management of gestational hypertension, postpartum hypertension, and preeclampsia) are listed as not covered for the indications in this policy, and several ICD-10 codes for hypertension complicating pregnancy, gestational hypertension, preeclampsia, and eclampsia are also listed as not covered.