Sensory and Auditory Integration Therapy - Facilitated Communication - (CPG149)

Cigna covers Ayres Sensory Integration Therapy (CPT 97533) only for individuals with Autism Spectrum Disorder (ICD‑10 F84.x); all other sensory integration uses are not medically necessary and auditory integration therapy and facilitated communication are considered experimental/investigational and not covered. Coverage requires a prior formal evaluation and an individualized, fidelity‑adherent plan with quantifiable short‑ and long‑term goals, objective measures showing successive improvement and generalization, documented active participation, qualified/licensed providers, and ongoing documentation that improvement is attainable and goals remain unmet.

"Ayres Sensory Integration Therapy (AS® / Ayres Sensory Integration®) is considered medically necessary for treatment of individuals with Autism Spectrum Disorder (ASD) when ALL of the following cri..."

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