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AetnaAll Plans · Coverage · Medical Policy · Orthopedics, Neurology, Pediatrics +1 moreMedium impact

Gait Analysis and Electrodynogram (CPB 0263, reviewed 2026-04-16)

Effective date
Not stated in the notice
Identified
Aug 14, 2026

Summary

Aetna considers gait analysis, also called motion analysis, experimental, investigational or unproven for conditions that result in gait deviations and for all other indications. Dynamic electromyography, use of electrodynogram for all indications, and wearable devices for running gait analysis are listed in the same category. Aetna lists CPT 96000, 96001, 96002 and 96004 as not covered for the indications listed in the policy, along with ICD-10 codes for cerebral palsy, paraplegia and quadriplegia, abnormality of gait and mobility, and other lack of coordination, and the policy was last reviewed 04/16/2026 with its next review set for 03/11/2027.

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What to do

Action · 4 steps
01Billing team: Do not expect coverage for CPT 96000, 96001, 96002 and 96004 for the indications listed in this policy, since they are listed as not covered for those indications.
02Billing team: Do not expect coverage for the ICD-10 codes G80.0 through G80.9, G82.20 through G83.9, R26.0 through R26.9 and R27.0 through R27.9 for the indications listed in this policy.
03Billing team: Expect no coverage for gait analysis for conditions that result in gait deviations or for any other indication, for dynamic electromyography for any indication, or for electrodynogram for any indication.
04Billing team: Wearable devices for running gait analysis have no specific HCPCS code in this policy and are listed as experimental, investigational or unproven.

Codes mentioned

96000960019600296004G80.0G80.9G82.20G83.9R26.0R26.9R27.0R27.9

Original notice

Gait Analysis and Electrodynogram (CPB 0263, reviewed 2026-04-16)
aetna.com · Always check the source before changing claims.
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