Endolymphatic Hydrops (Meniere's Disease) Tests

Aetna covers dehydration testing with glycerol, urea, or other osmotic diuretics to verify endolymphatic hydrops (Meniere’s disease) only for members with atypical presentations who meet selection criteria; all other uses of dehydration testing are experimental/investigational and not covered. Endolymphatic sac immunohistochemistry (AQP2, V2R, NKCC2, TRPV4), genetic testing for KCNE1/KCNE3/SIK1/SLC8A1/SLC26A4, IV-gadolinium inner-ear MRI, and multi-frequency tympanometry are considered experimental/investigational and excluded.

"Because VEMP, IV-Gd inner ear MRI, multi-frequency tympanometry, genetic testing listed above, antibody testing, endolymphatic sac immunohistochemistry, and video head impulse test have not been es..."

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