Aetna modified CPB 0710 covering actigraphy and accelerometry, effective October 16, 2025. CPT 95803 and Category III codes 0533T–0536T are not covered for any of the 26+ listed indications. Here's what billing teams need to know.

Aetna, a CVS Health company, updated its actigraphy and accelerometry coverage policy under CPB 0710 in the Aetna system. The policy now carries an expanded, explicit list of non-covered indications spanning sleep disorders, psychiatric conditions, movement disorders, and epilepsy monitoring. If your practice bills CPT 95803 for actigraphy or 0533T–0536T for continuous movement disorder recording, this update affects your charge capture and denial risk starting October 16, 2025.


Quick-Reference Table

Field Detail
Payer Aetna, a CVS Health company
Policy Actigraphy and Accelerometry
Policy Code CPB 0710
Change Type Modified
Effective Date October 16, 2025
Impact Level High — broad non-coverage across multiple specialties
Specialties Affected Sleep medicine, neurology, psychiatry, pulmonology, geriatrics, rehabilitation medicine, pain management
Key Action Audit all claims for CPT 95803 and 0533T–0536T before October 16, 2025, and remove these codes from charge capture pathways for the listed diagnoses

Aetna Actigraphy and Accelerometry Coverage Criteria and Medical Necessity Requirements 2025

The real issue here: Aetna's CPB 0710 Aetna system update contains no covered indications for actigraphy or accelerometry. The entire policy is a non-coverage bulletin. There is no pathway to reimbursement for CPT 95803 or 0533T–0536T under any of the listed diagnoses.

Aetna's position is that the clinical evidence does not establish the effectiveness of actigraphy or accelerometry for any of the indications in the policy. That's a broad statement, and it covers a wide range of diagnostic and monitoring uses that some providers bill routinely.

The actigraphy and accelerometry billing landscape shifted for Aetna members before this update, but the October 16, 2025 effective date makes the expanded indication list official and enforceable. If you've been submitting CPT 95803 for sleep disorder workups or 0533T–0536T for Parkinson's monitoring and receiving inconsistent denials, this update tells you why — and confirms those denials aren't going away.

No prior authorization will save these claims. The policy designates all listed indications as experimental, investigational, or unproven. Prior authorization for services Aetna considers experimental is irrelevant — authorization doesn't guarantee medical necessity, and Aetna can still deny on clinical grounds post-service.


Aetna Actigraphy and Accelerometry Exclusions and Non-Covered Indications

This section is the heart of CPB 0710, and it's extensive. Aetna considers actigraphy testing — including devices like the Actiwatch, AW-64, and Emfit — experimental and unproven for 17 specific indications. The list is labeled "not all-inclusive," which means Aetna can deny actigraphy claims for unlisted diagnoses too.

Actigraphy Non-Covered Indications

The 17 indications Aetna lists for CPT 95803 non-coverage are:

#Excluded Procedure
1Defining lithium response dimensions in bipolar disorders (F31.10–F31.9)
2Detection or screening of apnea
3Detection of seizures during sleep
+ 14 more exclusions

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That last one — REM sleep behavior disorder screening — is worth flagging. Sleep medicine practices often use actigraphy as part of an early workup before polysomnography. Aetna is explicitly excluding this use.

Accelerometry Non-Covered Indications

Accelerometry devices — including the Kinesia and Tremerometer — are non-covered under codes 0533T–0536T for nine indications:

#Excluded Procedure
1Evaluating functional ability in the elderly
2Differential diagnosis of tremor syndromes (G25.0–G25.2)
3Evaluating sleep disturbances in Parkinson's disease (G20.A1–G20.C, G21.0–G21.9)
+ 6 more exclusions

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The Parkinson's disease indications appear twice — once under actigraphy for motor fluctuations, once under accelerometry for sleep disturbances and movement disorder kinematics. If your neurology team is using either device type for Parkinson's monitoring, both CPT families are denied.

Epilepsy Monitoring Systems

Aetna also calls out epilepsy monitoring systems that combine accelerometry and heart rate monitoring. These are non-covered for diagnosing nocturnal epilepsy and for all other indications. The ICD-10 codes G40.001–G40.919 (epilepsy and recurrent seizures) are tied to this exclusion. This is a separate category from the accelerometry and actigraphy buckets above — Aetna is addressing combined-modality monitoring devices specifically.


Coverage Indications at a Glance

Indication Status Relevant CPT Codes Key ICD-10 Codes Notes
Sleep disorder diagnosis (insomnia, hypersomnia, PLMS, SDB) Not Covered — Experimental 95803 G47.0–G47.9 Applies to all sleep disorder subtypes listed
Bipolar disorder — lithium response Not Covered — Experimental 95803 F31.10–F31.9
Alzheimer's disease diagnosis Not Covered — Experimental 95803 G30.0–G30.9
+ 23 more indications

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This policy is now in effect (since 2025-10-16). Verify your claims match the updated criteria above.

Aetna Actigraphy and Accelerometry Billing Guidelines and Action Items 2025

#Action Item
1

Remove CPT 95803 from charge capture for all diagnoses in the non-covered list before October 16, 2025. The updated policy is explicit. Submitting 95803 with G47.x, F32.x, F31.x, G20.x, or any other listed ICD-10 code will trigger a claim denial. Update your charge capture rules now — don't wait for remittances to tell you.

2

Pull and review all CPT 0533T–0536T claims submitted in the last 90 days. Check whether any were billed with G25.0–G25.2 (tremor), G20.A1–G20.C (Parkinson's), I63.x (stroke), or G40.001–G40.919 (epilepsy). These are the highest-exposure ICD-10 families for accelerometry denials under the updated coverage policy.

3

Notify your neurology and sleep medicine providers before the October 16, 2025 effective date. These specialties carry the highest volume of actigraphy and accelerometry billing. Providers ordering the Actiwatch, AW-64, Emfit, Kinesia, or Tremerometer for any Aetna patient need to know this isn't a reimbursement pathway — it's a denial waiting to happen.

+ 4 more action items

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Sample Version Diff Line-by-line changes
Previous VersionCurrent Version
Coverage is considered experimental and investigational for all indicationsCoverage is considered medically necessary when specific criteria are met
Prior authorization is not requiredPrior authorization is required for initial treatment
Documentation must include clinical historyDocumentation must include clinical history
+ 1 more action items

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CPT, HCPCS, and ICD-10 Codes for Actigraphy and Accelerometry Under CPB 0710

Not Covered / Experimental CPT Codes

Code Type Description Coverage Status
95803 CPT Actigraphy testing, recording, analysis, interpretation and report (minimum of 72 hours to 14 consecutive days) Not covered for indications listed in CPB 0710
0533T CPT (Category III) Continuous recording of movement disorder symptoms, including accelerometry and/or gyroscopy Not covered for indications listed in CPB 0710
0534T CPT (Category III) Continuous recording of movement disorder symptoms, including accelerometry and/or gyroscopy — each additional 30 days Not covered for indications listed in CPB 0710
+ 2 more codes

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Key ICD-10-CM Diagnosis Codes

The following diagnosis codes appear in the CPB 0710 non-coverage list. These are the ICD-10 codes most likely to appear on denied claims.

Code Range Description
F11.20–F11.29 Opioid dependence (various specifiers)
F20.0–F23 Schizophrenia, schizotypal disorder, delusional disorders, brief psychotic disorder
F31.10–F31.9 Bipolar disorder (various specifiers)
+ 13 more codes

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The ICD-10 list in the full CPB 0710 policy contains 262 diagnosis codes. The ranges above cover the primary clinical categories. If you work in a specialty with high volumes of any of these diagnoses — neurology, sleep medicine, psychiatry, pulmonology — run a claims audit against these ranges before October 16, 2025.


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