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AetnaAll Plans · Coverage · Medical Policy · Pulmonology, PediatricsMedium impact

Computerized Wheeze Detectors (CPB 0813, reviewed 2025-12-03)

Effective date
Not stated in the notice
Identified
Aug 15, 2026
Replaced. This version was replaced by Computerized Wheeze Detectors (CPB 0813, reviewed 2026-10-28) (published Oct 28, 2026).

Summary

Aetna considers intermittent or continuous computerized or electronic wheeze detectors experimental, investigational or unproven for the diagnostic evaluation of lung sounds, such as wheezing, or cough, and for all other indications, due to insufficient evidence of their effectiveness. Cough (R05.1 to R05.9) and abnormalities of breathing (R06.00 to R06.9) are listed as ICD-10 codes not covered for the indications in this policy. Randomized controlled studies are needed to determine their effectiveness, and no professional medical society has recommended their use.

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What to do

Action · 2 steps
01Billing team: Stop billing intermittent or continuous computerized or electronic wheeze detector services for diagnostic evaluation of lung sounds or cough, because these services are considered experimental, investigational or unproven for those indications and for all other indications.
02Claims with ICD-10 codes for cough (R05.1 to R05.9) or abnormalities of breathing (R06.00 to R06.9) are not covered for the indications in this policy.

Codes mentioned

R05.1R05.9R06.00R06.9

Original notice

Computerized Wheeze Detectors (CPB 0813, reviewed 2025-12-03)
aetna.com · Always check the source before changing claims.
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Related policy hubs

Aetna policiesPulmonologyPediatricsCode R05.1Code R05.9Code R06.00Code R06.9

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