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AetnaAll Plans · Coverage · Medical Policy · Vascular Surgery, Cardiology, Physical TherapyMedium impact

Peripheral Vascular Rehabilitation Programs (CPB 0458, reviewed 2026-07-23)

Effective date
Not stated in the notice
Identified
Aug 13, 2026

Summary

Aetna considers medical supervision of peripheral vascular rehabilitation programs medically necessary for the treatment of persons with symptomatic peripheral artery disease (PAD), including intermittent claudication. Up to 36 sessions over a 12-week period are considered medically necessary when all of the listed supervised exercise therapy program components are met, and CPT 93668 is covered if the selection criteria are met. Medical supervision for persons with absolute contraindications to exercise and for all other indications is considered experimental, investigational, or unproven, and PADnet, the QuantaFlo System for PAD screening, and HyperView imaging are also considered experimental, investigational, or unproven or not covered for the listed indications.

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What to do

Action · 6 steps
01Billing team: Bill CPT 93668 per session only when the criteria are met.
02Each session must last 30-60 minutes, be a therapeutic exercise-training program for PAD in members with claudication, and be conducted in a hospital outpatient setting or a physician's office.
03Confirm that the member had a face-to-face visit with the physician responsible for PAD treatment to obtain the referral for the SET program, and that this visit included information on cardiovascular disease and PAD risk factor reduction.
04Confirm that sessions are delivered by qualified auxiliary personnel trained in exercise therapy for PAD, under the direct supervision of a physician, physician assistant, or nurse practitioner/clinical nurse specialist, clinical exercise physiologists, or nurses trained in exercise therapy for PAD.
05Up to 36 sessions over a 12-week period are considered medically necessary.
06Do not expect coverage for medical supervision for absolute contraindications to exercise or for all other indications, PADnet, QuantaFlo, or CPT 0631T HyperView imaging, which are listed as experimental, investigational, or unproven or as not covered.

Codes mentioned

93668I70.211I70.219I70.311I70.319I70.611I70.619I70.711I70.719I73.00I73.9Z13.6

Original notice

Peripheral Vascular Rehabilitation Programs (CPB 0458, reviewed 2026-07-23)
aetna.com · Always check the source before changing claims.
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Related policy hubs

Aetna policiesVascular SurgeryCardiologyPhysical TherapyCode 93668Code I70.211Code I70.219Code I70.311Code I70.319Code I70.611Code I70.619Code I70.711Code I70.719Code I73.00Code I73.9Code Z13.6

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