Motor Cortex Stimulation (CPB 0755, reviewed 2026-02-24)
Effective date
Not stated in the notice
Identified
Aug 17, 2026
Summary
Aetna's Clinical Policy Bulletin 0755 on motor cortex stimulation, with a policy history last review of 10/21/2026, considers motor cortex stimulation experimental, investigational or unproven for many indications because its effectiveness has not been established. The list includes amyotrophic lateral sclerosis, autism spectrum disorder, cerebral palsy, chronic refractory pain (such as central pain syndromes, complex regional pain syndrome, phantom limb pain, thalamic pain and trigeminal neuropathic pain), depression, dysphagia, dystonia secondary to a focal basal ganglia lesion, movement disorders, obsessive compulsive disorder, Parkinson's disease, post-stroke aphasia, post-stroke hemiparesis, seizures, traumatic brain injury, and use of motor cortex stimulation during deep brain stimulator implantation. The policy lists CPT codes 61850, 61860, 61885, 61886, 64568, 95961, 95962 and 95970 as not covered for the indications it lists.
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01Billing team: Do not bill CPT 61850, 61860, 61885, 61886, 64568, 95961, 95962 or 95970 for the indications this policy lists, because the policy states these codes are not covered for those indications.
02Billing team: Motor cortex stimulation for the listed indications is considered experimental, investigational or unproven under this policy, so check those indications against the policy before scheduling or billing the service.
03Check the current version of the policy at the source link, since the policy history lists a next review of 08/26/2027.
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