Payer PolicyActive
Car-Ride Simulators for Infantile Colic
AETNA-CPB-0523
Aetna
Effective: July 14, 2023
Updated: December 6, 2025
created · Dec 2, 2025
Policy Summary
Aetna excludes car-ride simulators (e.g., SleepTight Infant Soother) from coverage—no covered indications identified and they are specifically not covered for infantile colic (ICD‑10 R10.83). They are deemed experimental/investigational and not durable medical equipment because effectiveness is unproven, and there are no specific CPT/HCPCS codes for these devices.
Coverage Criteria Preview
Key requirements from the full policy
"None. (No covered indications identified."
Sign up to see full coverage criteria, indications, and limitations.
Covered Medical Codes