J2590 Insurance Policy Changes

Female Sexual Dysfunction (FSD) (CPB 0574, reviewed 2026-09-10)

Aetna has updated its Female Sexual Dysfunction (FSD) policy (CPB 0574) to clarify coverage and non-coverage of treatments. The policy covers cognitive behavioral therapy/psychotherapy (CPT 90832-90838) and pelvic floor physical therapy (CPT 97110) as medically necessary, while designating numerous interventions as experimental/investigational including laser therapy, radiofrequency procedures, stem cell therapies, and device-based treatments. Billing teams must ensure claims for non-covered procedures are denied appropriately and that covered psychotherapy and physical therapy codes are processed correctly when medically indicated.