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AetnaAll Plans · Coverage · Medical Policy · Neurology, Neurosurgery, Critical CareLow impact

Thermal Perfusion Probe for Monitoring Regional Cerebral Blood Flow (CPB 0703, reviewed 2026-10-15)

Effective date
Not stated in the notice
Identified
Oct 21, 2026

Summary

Aetna's clinical policy bulletin 0703 treats thermal perfusion probes, which continuously measure regional cerebral blood flow after head injury, subarachnoid hemorrhage or neurosurgery, as experimental, investigational or unproven. It lists the diagnosis codes for neurological and cerebrovascular conditions that are not covered for this use, along with related CPT 0042T. The source is dated October 15, 2026 and states no effective date for a change, so treat it as reference criteria to confirm against Aetna's current version.

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What to do

Action · 4 steps
01No effective date or deadline is stated in the source, so there is no dated obligation.
02Billing team: if the practice bills for thermal perfusion probe monitoring, check the claim for Aetna before submission, because the bulletin lists this use as experimental, investigational or unproven and not covered.
03Neurosurgery and neuro-critical care staff: tell providers that Aetna does not consider this monitoring covered for head injury, subarachnoid hemorrhage or post-neurosurgery use, so they can document the clinical need in the chart.
04Watch for the next revision of CPB 0703, and confirm current applicability with Aetna before changing charge entry or claim edits.

Codes mentioned

Z13.850Z13.858G93.7G93.89G93.9

Original notice

Thermal Perfusion Probe for Monitoring Regional Cerebral Blood Flow (CPB 0703, reviewed 2026-10-15)
aetna.com · Always check the source before changing claims.
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