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AetnaAll Plans · Coverage · Medical Policy · Wound Care, PodiatryMedium impact

Electrical Stimulation for Chronic Ulcers (CPB 0680, reviewed 2026-10-14)

Effective date
Not stated in the notice
Identified
Oct 17, 2026

Summary

Aetna considers electrical stimulation medically necessary durable medical equipment for arterial ulcers, diabetic ulcers, Stage III or IV pressure ulcers, and venous stasis ulcers when it is used as adjunctive therapy after no measurable signs of healing for at least 30 days of conventional wound treatment. Courses exceeding 1 hour per day are not considered medically necessary, continued stimulation is not medically necessary if measurable healing is not shown within a 4-week treatment period or once the wound bed is 100% epithelialized, and electrical stimulation for chronic ulcers in the home setting is considered not medically appropriate. Aetna considers electrical stimulation experimental, investigational, or unproven for uses including prevention of ulcers and pressure sores, infected wounds, microcurrent as an adjunctive therapy, and the VeinoPlus device for venous ulcers.

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What to do

Action · 5 steps
01Billing team: Bill CPT 97014 and 97032 and HCPCS G0281 only when the ulcer is arterial, diabetic, venous stasis, or a Stage III or IV pressure ulcer, conventional wound treatment has shown no measurable signs of healing for at least 30 days, and stimulation is used as adjunctive therapy.
02Courses exceeding 1 hour per day are not medically necessary, and a course is not typically expected to exceed 4 weeks in total.
03Stop billing continued stimulation once the wound bed is 100% epithelialized, or when measurable healing (a decrease in wound size by surface area or volume, a decrease in exudate, or a decrease in necrotic tissue) is not shown within a 4-week treatment period.
04Billing team: Do not bill electrical stimulation for chronic ulcers in the home setting, since it is considered not medically appropriate there.
05Do not bill CPT 97035 (modulated ultrasound) for the combined modulated ultrasound and electric current treatment of diabetic foot ulcers, or HCPCS E0745 for the microcurrent or VeinoPlus uses, which Aetna considers experimental, investigational, or unproven.

Codes mentioned

970149703297035G0281E0745E08.621E08.622E09.621E09.622E10.621E10.622E11.621E11.622E13.621I74.2I74.3I74.5I77.89I83.001I83.029I83.201I83.229I87.2L89.000L89.95L97.101L97.929

Original notice

Electrical Stimulation for Chronic Ulcers (CPB 0680, reviewed 2026-10-14)
aetna.com · Always check the source before changing claims.
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