Payer PolicyActive
Home Cholesterol Monitors
AETNA-CPB-0367
Aetna
Effective: June 21, 2023
Updated: December 6, 2025
created · Dec 2, 2025
Policy Summary
Aetna considers home cholesterol monitors experimental and investigational and does not cover them for any indication (no CPT code listed; HCPCS A9279 not covered). Coverage is denied because daily home testing is unnecessary for effective cholesterol management and there is no evidence that home monitoring improves clinical outcomes versus periodic laboratory testing.
Coverage Criteria Preview
Key requirements from the full policy
"No prospective studies demonstrate that home monitoring of cholesterol improves clinical outcomes compared to periodic testing performed in the clinic."
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