Payer PolicyActive
Ernest or Eagle's Syndrome (Stylomandibular Ligament Pain): Treatment with Radiofrequency Thermoneurolysis
AETNA-CPB-0400
Aetna
Effective: June 7, 2023
Updated: December 6, 2025
created · Dec 2, 2025
Policy Summary
Radiofrequency thermoneurolysis (RF ablation/neurolysis) for Ernest/Eagle's syndrome is considered experimental and investigational and is not covered. The policy cites insufficient evidence in peer‑reviewed literature (anecdotal reports lack rigor), notes no specific CPT/HCPCS code exists (code 64600 is referenced but not endorsed), and RF is also considered investigational for TMJ/TMD.
Coverage Criteria Preview
Key requirements from the full policy
"No specific CPT/HCPCS code exists for radiofrequency thermoneurolysis for this indication (policy notes: "No specific code")."
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