Payer PolicyActive
Home Births
AETNA-CPB-0329
Aetna
Effective: May 30, 2023
Updated: December 6, 2025
created · Dec 2, 2025
Policy Summary
Aetna excludes coverage for planned home births and associated services as not medically appropriate, specifically not covering CPT codes 59400–59430, 59510–59525, and 59610–59622 for planned home deliveries. Coverage will only be considered if mandated by law under plans subject to state mandates.
Coverage Criteria Preview
Key requirements from the full policy
"Policy background references identify additional risk factors associated with increased neonatal mortality in home births (per cited studies): nulliparity/first-time birth and gestational age great..."
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