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CommercialCoverageMedium impact

Dry Hydrotherapy (Hydromassage, Aquamassage, Water Massage) (CPB 0699, reviewed 2025-10-14)

Aetna·Physical Therapy, PM&R (Physical Medicine & Rehab), Sports Medicine +2 more·Medical Policy
Effective date
Oct 14, 2025
We identified it
Aug 14, 2026
Days to comply

Summary

Aetna has classified dry hydrotherapy (hydromassage, aquamassage, water massage) as experimental, investigational, or unproven, effective immediately. Billing teams must deny all claims for this service across all indications, including macular hole treatment. No specific CPT code exists for dry hydrotherapy itself, but related codes (97010, 97022, 97124, G0151, S9131) should not be billed when the documented service is dry hydrotherapy.

Action Required

Action needed
Immediately effective 10/14/2025: Billing team must update claim denial rules in billing software to reject all dry hydrotherapy claims (hydromassage, aquamassage, water massage) submitted under related CPT codes 97010, 97022, 97124, G0151, and S9131 when documentation indicates the service provided is dry hydrotherapy. Add denial reason: 'Service classified as experimental, investigational, or unproven per CPB 0699.' Configure system to block claims with ICD-10 codes H35.341-H35.349 (macular cyst, hole, pseudohole) when paired with these CPT codes, as macular hole treatment via hydromassage is explicitly non-covered. Train billing staff to identify dry hydrotherapy services on encounter forms and EOBs. Communicate non-coverage to providers and front-desk staff. Claims submitted after 10/14/2025 without prior knowledge of this policy change should reference CPB 0699 in appeal denials.

Affected Billing Codes

97010
97022
97124
G0151
S9131
H35.341
H35.342
H35.343
H35.344
H35.345
H35.346
H35.347
H35.348
H35.349