Aetna Com Cpb Medical

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Medical Clinical Policy Bulletins - Aetna

https://www.aetna.com/health-care-professionals/clinical-policy-bulletins/medical-clinical-policy-bulletins.html

Using Clinical Policy Bulletins to determine medical coverage. Medical Clinical Policy Bulletins (CPBs) detail the services and procedures we consider medically necessary, …

Obstructive Sleep Apnea in Adults - Medical Clinical …

https://www.aetna.com/cpb/medical/data/1_99/0004.html

Requests for tracheostomy for OSA are subject to medical review. Note: Aetna follows Medicare DME MAC rules for the medically necessary quantity of tracheostomy supplies …

Diabetes Tests, Programs and Supplies - Medical …

https://www.aetna.com/cpb/medical/data/1_99/0070.html

Other CPT codes related to the CPB: 83036: Hemoglobin; glycosylated (A1C) 83037: glycosylated (A1C) by device cleared by FDA for home use: 97802: Medical nutrition …

Corneal Remodeling - Medical Clinical Policy Bulletins

https://www.aetna.com/cpb/medical/data/1_99/0023.html

ICD-10 codes not covered for indications listed in the CPB (not all-inclusive): H18.601 - H18.609: Keratoconus: H18.711 - H18.719: Corneal ectasia: Q13.4: Other congenital …

Physical Therapy - Medical Clinical Policy Bulletins | Aetna

https://www.aetna.com/cpb/medical/data/300_399/0325.html

Physical therapy may require precertification in some plan designs. Subject to plan benefit descriptions, physical therapy may be a limited benefit. Typically, in Aetna HMO plans, …

Electrical Stimulation for Pain - Medical Clinical Policy …

https://www.aetna.com/cpb/medical/data/1_99/0011.html

Policy. Aetna considers transcutaneous electrical nerve stimulators (TENS) medically necessary durable medical equipment (DME) when used as an adjunct or as an …

Polymerase Chain Reaction Testing: Selected …

https://www.aetna.com/cpb/medical/data/600_699/0650.html

Aetna considers the following qualitative polymerase chain reaction ... CPT codes not covered for indications listed in the CPB: ... Medical Diagnostics Laboratories has …

Breast and Ovarian Cancer Susceptibility Gene Testing, …

https://es.aetna.com/cpb/medical/data/200_299/0227.html

Medical Necessity. Prophylactic Mastectomy. Aetna considers prophylactic mastectomy medically necessary for reduction of risk of breast cancer in any of the following …

Prescription Digital Therapeutics - Medical Clinical Policy …

https://es.aetna.com/cpb/medical/data/900_999/0999.html

Policy. Aetna considers FDA approved or cleared mobile apps for contraception based on fertility awareness (e.g., Natural Cycles) to be medically necessary per federal preventive …

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