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AetnaAll Plans · Coverage · Medical Policy · OB-GYN, Psychiatry, Physical TherapyMedium impact

Female Sexual Dysfunction (FSD) (CPB 0574, reviewed 2026-02-24)

Effective date
Not stated in the notice
Identified
Aug 15, 2026

Summary

Aetna considers cognitive behavioral therapy or psychotherapy and pelvic floor physical therapy for genito-pelvic pain disorders medically necessary for female sexual dysfunction (FSD). Aetna considers bibliotherapy, biothesiometry, oxytocin, MDMA, percutaneous tibial nerve stimulation, sacral neuromodulation, vaginal electrical stimulation, female erectile devices, and several laser, radiofrequency, injection and regenerative therapies experimental, investigational or unproven for FSD because of insufficient evidence. Aetna does not cover vibrators because they do not meet its contractual definition of covered durable medical equipment, and some Aetna plans exclude drugs or supplies for sexual dysfunction or inadequacy.

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What to do

Action · 3 steps
01Billing team: CPT 90832, 90833, 90834, 90836, 90837, 90838 and 97110 are covered for FSD when the policy's selection criteria are met, with covered ICD-10 diagnoses F52.0 through F52.1, F52.22 through F52.31, F52.5 through F52.9, N90.5, N94.10 through N94.19, N94.2, N94.89, N95.2, R10.20 through R10.23 and R37.
02CPT 0232T, 0552T, 0672T, 17110, 17111 and 64566, HCPCS J2590, J7318, J7320 through J7329, J7331, J7332 and P9020 are not covered for the indications listed in the policy.
03Check the member's benefit plan descriptions before billing drugs, supplies or durable medical equipment, because some plans exclude drugs or supplies for sexual dysfunction and vibrators are not covered.

Codes mentioned

90832908339083490836908379083897110171101711164566J2590J7318J7320J7321J7322J7323J7324J7325J7326J7327J7328J7329J7331J7332P9020F52.0F52.1F52.22F52.31F52.5F52.9N90.5N94.10N94.19N94.2N94.89N95.2R10.20R10.23R37

Original notice

Female Sexual Dysfunction (FSD) (CPB 0574, reviewed 2026-02-24)
aetna.com · Always check the source before changing claims.
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Related changes

See all Aetna changes →
Female Sexual Dysfunction (FSD) (CPB 0574, reviewed 2026-09-10)MediumNo effective date · Medical PolicyViscosupplementation (CPB 0179, reviewed 2026-09-02)MediumNo effective date · Medical PolicyViscosupplementation (CPB 0179, reviewed 2026-04-02)MediumNo effective date · Medical PolicyCarbon Dioxide Laser (CPB 0427, reviewed 2026-07-08)MediumNo effective date · Medical PolicyBrowse every Aetna change in the policy list

Related policy hubs

Aetna policiesOB-GYNPsychiatryPhysical TherapyCode 90832Code 90833Code 90834Code 90836Code 90837Code 90838Code 97110Code 17110Code 17111Code 64566Code J2590Code J7318Code J7320Code J7321Code J7322Code J7323Code J7324Code J7325Code J7326Code J7327Code J7328Code J7329Code J7331Code J7332Code P9020Code F52.0Code F52.1Code F52.22Code F52.31Code F52.5Code F52.9Code N90.5Code N94.10Code N94.19Code N94.2Code N94.89Code N95.2Code R10.20Code R10.23Code R37

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