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Aetna tries to change coding requirements for CPAP devices – again

November 11, 2025HME News Staff

HARTFORD, Conn. - Aetna is once again trying to require adherence codes G8851, G8854 and G8855 for reimbursement for CPAP devices or supplies, the Midwest Association for Medical Equipment Services & Suppliers (MAMES) reports. The insurer tried the same move earlier this year, but after the HME industry pushed back, saying providers can’t bill these codes, it pulled back the change. In an October 2025 list of upcoming policy changes and reminders, however, Aetna states: “Beginning...

Aetna, coding requirements, CPAP Device