Payer PolicyActive
Sensory and Auditory Integration Therapy
AETNA-CPB-0256
Aetna
Effective: April 26, 2023
Updated: December 6, 2025
created · Dec 2, 2025
Policy Summary
Aetna considers sensory integration therapy and auditory integration training experimental and investigational and does not cover them for communication, behavioral, emotional, learning disorders or any other indications; CPT 97533 is not covered for those indications. The therapies are deemed unproven and coverage is excluded for listed ICD‑10 codes (e.g., F43.20–F43.29).
Coverage Criteria Preview
Key requirements from the full policy
"No specific documentation requirements are stated in this Clinical Policy Bulletin."
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