PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
AetnaAll Plans · Coverage · Pharmacy · Anesthesiology, Pain Management, Orthopedics +6 moreMedium impact

Anesthetic and Antiemetic Infusion Pumps (CPB 0607, reviewed 2026-09-09)

Effective date
Not stated in the notice
Identified
Sep 29, 2026

Summary

Aetna considers several anesthetic and antiemetic infusion pump uses experimental, investigational or unproven because their effectiveness has not been shown in well-designed clinical studies. The list covers the ambIT pump for post-surgical pain, intra-articular and intralesional narcotic or anesthetic pumps, local infusion pumps for arthroscopic shoulder surgery, bariatric surgery, cardiothoracic surgery, donor nephrectomy, free flap breast reconstruction, laparoscopic cholecystectomy, open inguinal hernia repair or total hip arthroplasty, continuous subcutaneous antiemetic pumps, and esketamine intravenous analgesic pumps for post-cesarean pain and depression. Disposable intralesional anesthetic and analgesic pumps inserted at surgery are considered surgical supplies integral to surgery and are not separately reimbursed, and continuous peripheral nerve blocks such as brachial plexus or femoral nerve blocks are excluded.

Get alerts when payers change rules like this one

We check Aetna and other payers every day and email you when a change matches your specialty and state.

Get Aetna alertsPolicy Monitoring is free. No card required.

What to do

Action · 3 steps
01Billing team: Do not bill HCPCS A4305, A4306, E0780, E0781, E0782 or E0783 for the indications the policy lists as not covered.
02Billing team: Do not bill separately for disposable intralesional anesthetic or analgesic infusion pumps inserted at surgery, because they are considered surgical supplies integral to surgery.
03Billing team: For HCPCS C9804, C9806, C9811, C9815 and C9816, confirm the device is a qualifying Medicare non-opioid medical device for post-surgical pain relief under section 4135 of the CAA, 2023, as the code descriptions require.

Codes mentioned

A4305A4306C9804C9806C9811C9815C9816E0780E0781E0782E078319364271304364443645G89.18Z52.4Z98.84

Original notice

Anesthetic and Antiemetic Infusion Pumps (CPB 0607, reviewed 2026-09-09)
aetna.com · Always check the source before changing claims.
View original ↗

Related policy hubs

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account