Immediately effective October 29, 2025: (1) Billing team must implement system-wide block on all pulsed radiofrequency claims submitted to Aetna plans. (2) Update billing software to flag/deny any encounter forms or claims containing ICD-10 codes listed in this policy (B02.21-B02.29, D21.0-D21.9, E08.40-E13.49, F52.4, G43.701-G43.719, G44.1, G50.0, G52.1, G56.00-G56.03, G57.00-G57.93, G58.0, G58.8-G58.9, G60.3, G60.8-G60.9, G81.00-G81.94, G89.21-G89.28, G89.3, G90.01-G90.09, G90.50-G90.59, H93.11-H93.19, I47.0, I47.20-I47.29, I49.01, I69.398, K03.3, L74.510-L74.9, L90.6, M12.9, M17.0-M17.9, M25.50-M25.579, M51.15-M51.17, M51.26, M51.9, M53.3, M54.10, M54.12, M54.17-M54.18, M54.2, M54.50-M54.59, M54.6, M54.81, M54.89-M54.9, M72.2, M75.00-M75.02, M77.40-M77.42, M79.10-M79.18, M79.2, M79.601-M79.676, N50.811-N50.819, N94.2, N94.810-N94.819, R10.2, R39.11, R39.15, R51.0-R51.9, R52, Z89.011-Z89.9) when Aetna is the primary payer. (3) Providers and clinical staff must communicate to patients that pulsed radiofrequency procedures are not covered by Aetna and obtain signed waiver/attestation forms before proceeding with any PRF treatment. (4) Do NOT submit claims for Stimpod NMS460 nerve stimulator devices or combined ganglion impar block + PRF or combined platelet-rich plasma to Gasserian ganglion + PRF procedures to Aetna. (5) Update patient eligibility verification and financial counseling templates to reference PRF non-coverage. Failure to implement this block will result in claims being denied post-service with recoupment liability falling to the practice.