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AetnaAll Plans · Coverage · Medical Policy · Cardiology, Family Medicine, Internal MedicineMedium impact

Acoustic Heart Sound Recording and Computer Analysis (CPB 0692, reviewed 2026-10-14)

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

Summary

Aetna considers acoustic heart sound recording, computer analysis and interpretation experimental, investigational or unproven because its effectiveness has not been established. The same position applies to auscultation jacket, ballistocardiography, optical vibrocardiography, phonocardiography, vectorcardiography, and the SENSORA AI Heart Disease Detection Platform for detecting cardiac dysfunction such as atrial fibrillation, cardiac murmurs, reduced ejection fraction and valvular heart disease. CPT codes 0716T and 0962T and HCPCS code S3902 are listed as not covered for the indications listed in the policy, and a list of ICD-10 diagnosis codes, including the circulatory system codes I00 through I99.9 and screening code Z13.6, is listed as not covered for those indications.

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What to do

Action · 5 steps
01REQUIREMENTS: Billing team: Do not bill CPT 0716T, CPT 0962T or HCPCS S3902 for the indications listed in the policy, because the policy lists them as not covered for those indications.
02Billing team: Do not bill acoustic heart sound recording, computer analysis and interpretation, auscultation jacket, ballistocardiography, optical vibrocardiography, phonocardiography, vectorcardiography, or the SENSORA AI Heart Disease Detection Platform, because Aetna considers them experimental, investigational or unproven.
03Billing team: Review the diagnosis codes the policy lists as not covered for the indications in the policy, including I00 through I99.9, R00.8 through R00.9, R01.0 through R01.2 (cardiac murmurs and other cardiac sounds), R09.89, R09.A0, R09.A1, R09.A2, R09.A9, R93.1, R93.811 through R93.89, R94.30 through R94.39, and Z13.6 (encounter for screening for cardiovascular disorders).
04The policy states that its list of ICD-10 codes is not all-inclusive.
05Billing team: The policy was last reviewed 10/14/2026 with the next review scheduled for 08/12/2027.

Codes mentioned

S3902I00I99.9R00.8R00.9R01.0R01.2R09.89R09.A0R09.A1R09.A2R09.A9R93.1R93.811R93.89R94.30R94.39Z13.6

Original notice

Acoustic Heart Sound Recording and Computer Analysis (CPB 0692, reviewed 2026-10-14)
aetna.com · Always check the source before changing claims.
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Related policy hubs

Aetna policiesCardiologyFamily MedicineInternal MedicineCode S3902Code I00Code I99.9Code R00.8Code R00.9Code R01.0Code R01.2Code R09.89Code R09.A0Code R09.A1Code R09.A2Code R09.A9Code R93.1Code R93.811Code R93.89Code R94.30Code R94.39Code Z13.6

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