Payer PolicyActive
Intermittent Intravenous Insulin Therapy
AETNA-CPB-0742
Aetna
Effective: October 6, 2023
Updated: December 6, 2025
created · Dec 2, 2025
Policy Summary
Aetna considers intermittent intravenous insulin therapy (including hepatic/metabolic activation, pulse/pulsatile IV insulin, Trina Health artificial pancreas), insulin potentiation therapy, and related glucose/potassium/respiratory quotient/urine urea nitrogen testing experimental/investigational and not covered. These approaches are excluded because their clinical effectiveness has not been established; the policy does not apply to standard continuous insulin infusions for DKA/HHS.
Coverage Criteria Preview
Key requirements from the full policy
"Aetna considers the following procedures experimental and investigational because the effectiveness of these approaches has not been established:"
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