Magnetic Resonance Neurography (CPB 0387, reviewed 2025-08-01)
Effective date
Not stated in the notice
Identified
Aug 14, 2026
Summary
Aetna considers magnetic resonance neurography experimental, investigational, or unproven because the medical literature on its clinical use remains in early stages of development. The policy lists ICD-10 codes for nerve, nerve root and plexus disorders (G50.0 through G59) and for injury to nerves and spinal cord (S04 through S94 ranges) as not covered for the indications listed. There are no specific CPT or HCPCS codes for magnetic resonance neurography.
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01Billing team: Claims for magnetic resonance neurography under the listed ICD-10 diagnoses are not covered, because the policy lists those indications as not covered.
02The policy states there are no specific CPT or HCPCS codes for magnetic resonance neurography.
Codes mentioned
G50.0G59S04.011A
Original notice
Magnetic Resonance Neurography (CPB 0387, reviewed 2025-08-01)
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