CommercialCoverageMedium impact
Auditory Processing Disorder (APD) (CPB 0668, reviewed 2026-10-07)
Aetna·Audiology, Speech Therapy, Pediatrics +1 more·Medical Policy
We identified it
Oct 15, 2026
Summary
Aetna's Clinical Policy Bulletin 0668 on Auditory Processing Disorder (APD) classifies all diagnostic tests and treatments for APD—including speech therapy—as experimental, investigational, or unproven due to insufficient scientific evidence. This is a policy reaffirmation (reviewed 2026-10-07) with no stated effective date change, meaning the non-coverage position remains in effect. Billing teams should ensure claims for APD-related services are denied consistently and that providers understand these codes are not covered for APD indications.
Action Required
Verify current claim denial procedures for all listed CPT codes (92507, 92508, 92521–92588, 92620–92621), HCPCS codes (S9128, V5008), and ICD-10 codes (H93.25, H93.291–H93.299) when billed with APD indications. Confirm that the billing system is configured to deny or flag these services as non-covered for APD diagnoses. Alert providers and front desk staff that APD diagnostic testing, speech therapy for APD, hearing screening codes, and auditory integration therapy are not covered by Aetna under this bulletin. Document the policy's non-coverage position in internal guidelines to ensure consistent application across all claim submissions.