Tinnitus Treatments

Aetna covers TENS devices/supplies (HCPCS A4595, E0720, E0730) as DME and sigmoid sinus resurfacing for pulsatile tinnitus from sigmoid sinus dehiscence/diverticulum when selection criteria are met, while tinnitus instruments (maskers/hearing aids) and a long list of therapies (e.g., acoustic coordinated reset, TMS, sound/music therapies, cochlear implants, many drugs and procedures) are considered experimental/investigational and not covered. Key requirements: medically correctable causes must be ruled out, tinnitus must be severe for >6 months, conservative treatments (counseling/reassurance, dietary changes, drug therapy) must have failed, no more than 10 TENS sessions/year are considered medically necessary, and claims must meet the policy’s coding/selection criteria.

"Transcutaneous electrical nerve stimulation (TENS) as durable medical equipment (DME) for members with severe tinnitus when all of the following criteria are met: "Medically correctable causes of t..."