Cervical Traction Devices

Aetna covers over‑the‑door cervical traction devices (HCPCS E0860) and select pneumatic cervical traction devices that apply force other than to the mandible and do not require an extra stand/frame (HCPCS E0849) as DME when the member has a musculoskeletal or neurologic impairment requiring traction, has been shown how to use and tolerated the device, and for pneumatic devices one of the following is documented: physician-justified need for ≥20 pounds, treated TMJ dysfunction, or jaw/neck anatomy precluding a chin halter. Cervical traction via headboard or non‑pneumatic free‑standing frame, the Posture Pump, devices for atlanto‑occipital dislocation, and inflatable‑air‑bladder collars are excluded/considered experimental or not medically necessary, and pneumatic devices are reserved for those who failed over‑the‑door traction.

"Over-the-door cervical traction devices for home use as durable medical equipment (DME) when the following criteria are met: The member has a musculoskeletal or neurologic impairment requiring trac..."