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AetnaAll Plans · Coverage · Medical Policy · Sleep Medicine, ENT (Ear, Nose & Throat), DentistryMedium impact

Acoustic Pharyngometers and SNAP Testing System (CPB 0336, reviewed 2026-05-20)

Effective date
Not stated in the notice
Identified
Aug 12, 2026

Summary

Aetna considers SNAP Testing using 3 or more channels a medically necessary device for home diagnosis of obstructive sleep apnea in adults, according to the criteria in CPB 0004, and lists HCPCS G0400, a home sleep test with a type IV portable monitor using a minimum of 3 channels, as covered for adults only when selection criteria are met. Acoustic pharyngometry, such as the Eccovision Acoustic Pharyngometer, and SNAP Testing System versions using fewer than 3 channels are considered experimental, investigational, or unproven for screening, diagnosis, treatment planning, or prediction of surgical success in persons with suspected or known obstructive sleep apnea, and for all other indications. The policy lists no specific CPT or HCPCS code for acoustic pharyngometry.

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What to do

Action · 3 steps
01Billing team: bill HCPCS G0400 only for adults, and only when the SNAP test uses a minimum of 3 channels and the selection criteria in CPB 0004 are met.
02For SNAP testing with the 3-channel test, confirm that the diagnosis is one of the ICD-10 codes the policy lists as covered when selection criteria are met, including F51.03 through F51.05, F51.13 through F51.19, G47.00 through G47.39, G47.50 through G47.9, R06.00 through R06.09, and R06.83 through R06.89.
03Do not bill acoustic pharyngometry, or SNAP testing with fewer than 3 channels, for screening, diagnosis, treatment planning, or prediction of surgical success, because the policy considers them experimental, investigational, or unproven.

Codes mentioned

G0400F51.03F51.05F51.13F51.19F51.8G47.00G47.10G47.14G47.20G47.30G47.31G47.39G47.50G47.8G47.9P28.40P28.49R06.00R06.09R06.81R06.83R06.89

Original notice

Acoustic Pharyngometers and SNAP Testing System (CPB 0336, reviewed 2026-05-20)
aetna.com · Always check the source before changing claims.
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