NeuroControl Freehand System

Aetna covers the NeuroControl Freehand System as medically necessary for skeletally mature members with paralyzed hand(s) who have use of the shoulder, upper arm, and elbow, adequate forearm/hand range of motion with muscles that respond to electrical stimulation, and documented neurological stability (serial exams over 3–6 months without progression or imaging excluding a progressive lesion). The device is excluded/considered experimental if those criteria are not met, including lack of shoulder/upper arm/elbow use, insufficient muscle response or range of motion, progressive neurologic findings or lesion on imaging, or skeletal immaturity.

"Coverage is contingent on meeting the specified selection criteria; CPT/HCPCS codes are 'covered if selection criteria are met' (implying claims with these codes without meeting criteria may be den..."

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