Payer PolicyActive
Eye Movement Desensitization and Reprocessing (EMDR) Therapy
AETNA-CPB-0583
Aetna
Effective: September 7, 2023
Updated: December 6, 2025
created · Dec 2, 2025
Policy Summary
EMDR is covered as medically necessary for treatment of PTSD (ICD‑10 F43.10–F43.12 and Z86.51) when the plan’s selection criteria are met. EMDR is considered experimental/investigational (not covered) for prevention of PTSD, group EMDR, and all other listed indications (e.g., addiction, chronic pain, mood/anxiety disorders, neurodegenerative disorders), and there is no specific CPT code for EMDR with psychotherapy CPTs 90832–90899 not applicable/covered for EMDR.
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"Rheumatoid arthritis pain (studied comparison vs guided imagery)"
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