CommercialCoverageHigh impact
Knee Ligament Arthrometer Testing (CPB 0397, reviewed 2026-07-06)
Aetna·Orthopedics, Sports Medicine, Physical Therapy +1 more·Medical Policy
Effective date
Jul 6, 2026
We identified it
Aug 18, 2026
Summary
Aetna has classified knee ligament arthrometer testing (CPT 95851, 97750) as experimental, investigational, or unproven, effective immediately. This policy classifies the procedure as not covered for evaluating ligament laxity or other indications due to insufficient peer-reviewed evidence supporting clinical value and effectiveness.
Action Required
Effective immediately (2026-07-06): Billing team must deny all claims for CPT 95851 and CPT 97750 when billed for knee ligament arthrometer testing or ligament laxity evaluation under Aetna plans. Update billing system to automatically flag or reject these codes for this indication. Notify providers that knee ligament arthrometer testing is not a covered service and claims will be denied. Implement denial rules in EHR/billing software to prevent submission of these codes for this indication. Direct patients to alternative approved diagnostic methods (physical examination, MRI). Failure to implement this will result in claim denials and potential compliance issues.