Esophageal Doppler Monitoring

Aetna covers esophageal Doppler monitoring (EDM) only for cardiac output monitoring in patients needing intra‑operative fluid optimization and in ventilated intensive‑care patients, and considers EDM experimental/investigational for all other indications. Coverage requires that unspecified selection criteria be met for the relevant ICD‑10 diagnoses (e.g., J95.850, Z99.11–Z99.12), evidence pertains to unconscious/ventilated patients, and there is no specific CPT/HCPCS code for EDM.

"Aetna considers esophageal Doppler monitoring (EDM) medically necessary for monitoring of cardiac output in either of the following 2 groups: Persons with a need for intra-operative fluid optimizat..."

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