Computerized Motion Diagnostic Imaging

Computerized motion diagnostic imaging—including DARI functional motion analysis and vertebral motion analysis—is considered experimental/investigational and is not covered for evaluation of the spine or any other indications. Aetna states effectiveness is unestablished, so related CPT/HCPCS codes (e.g., 0693T, 96000, 96001, 96004) and listed ICD‑10 indications (e.g., M99.00–M99.29) are not covered.

"Computerized motion diagnostic imaging for evaluation of the spine or any other indications is considered experimental and investigational because the effectiveness of these approaches has not been..."

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