Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
AetnaCommercial · Coverage · Medical Policy · Occupational Therapy, Physical Therapy, Pediatrics +1 moreMedium impact

Sensory and Auditory Integration Therapy (CPB 0256, reviewed 2026-04-15)

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

Summary

Aetna considers sensory integration therapy and auditory integration therapy (also known as auditory integration training) experimental, investigational, or unproven for the management of persons with various communication, behavioral, emotional, and learning disorders and for all other indications. The effectiveness of these therapies is unproven. CPT code 97533 is not covered for the indications listed in this policy, and the listed ICD-10 codes are not covered for those indications either.

Get alerts when payers change rules like this one

We check Aetna and other payers every day and email you when a change matches your specialty and state.

Get Aetna alertsPolicy Monitoring is free. No card required.

What to do

Action · 3 steps
01Billing team: CPT 97533 is not covered for the indications listed in this policy.
02The ICD-10 codes listed as not covered for those indications are F43.20 through F43.29, F80.9, F81.0 through F81.9, F84.0 through F84.9, F90.0 through F90.9, F91.0 through F91.9, F93.0 through F93.9, Q99.2, R62.50 and Z03.89, and the policy notes that this list is not all-inclusive.
03Sensory integration therapy and auditory integration therapy are considered experimental, investigational, or unproven for all other indications.

Codes mentioned

97533F43.20F43.29F80.9F81.0F81.9F84.0F84.9F90.0F90.9F91.0F91.9F93.0F93.9Q99.2R62.50Z03.89

Original notice

Sensory and Auditory Integration Therapy (CPB 0256, reviewed 2026-04-15)
aetna.com · Always check the source before changing claims.
View original ↗

Related changes

See all Aetna changes →
Neuropsychological and Psychological Testing (CPB 0158, reviewed 2026-03-20)MediumNo effective date · Behavioral HealthLearning Disabilities, Dyslexia, and Vision (CPB 0078, reviewed 2026-03-18)MediumNo effective date · Medical PolicyFecal Bacteriotherapy (CPB 0844, reviewed 2026-03-25)MediumNo effective date · Medical PolicyBehavioral Health: Group Psychotherapy (CPB 1100, reviewed 2026-08-20)MediumEffective May 8, 2026 · Behavioral HealthBrowse every Aetna change in the policy list

Related policy hubs

Aetna policiesOccupational TherapyPhysical TherapyPediatricsAudiologyCode 97533Code F43.20Code F43.29Code F80.9Code F81.0Code F81.9Code F84.0Code F84.9Code F90.0Code F90.9Code F91.0Code F91.9Code F93.0Code F93.9Code Q99.2Code R62.50Code Z03.89

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account