Payer PolicyActive
Electrothermal Arthroscopy
AETNA-CPB-0545
Aetna
Effective: August 4, 2023
Updated: December 6, 2025
Policy Summary
Aetna considers electrothermal arthroscopy (ETAC) experimental and investigational and therefore not covered for any indication — including adhesive capsulitis/frozen shoulder, Achilles injuries/tendinitis, glenohumeral instability (Bankart, Hill‑Sachs), knee ligament/meniscal injuries, thumb/wrist/ankle injuries, TMJ dislocation, and related codes (HCPCS S2300 and applicable CPT/ICD‑10 codes) — unless there is explicit adequate evidence of long‑term effectiveness. No specific documentation requirements are stated in the policy.
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Key requirements from the full policy
"M76."
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