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Eyelid Surgery - Medical Clinical Policy Bulletins | Aetna

    https://www.aetna.com/cpb/medical/data/1_99/0084.html
    Blepharoplasty to remove excess tissue either above or below the eyes may also be medically necessary and covered to correct prosthesis difficulties in an anophthalmia socket, to repair defects caused by trauma or tumor-ablative surgery, to correct an …

Cosmetic Surgery and Procedures - Medical Clinical …

    https://www.aetna.com/cpb/medical/data/1_99/0031.html
    Aetna plans exclude coverage of cosmetic surgery and procedures that are not medically necessary, but generally provide coverage when the surgery or procedure is needed …

Medical Clinical Policy Bulletins - Aetna

    https://www.aetna.com/health-care-professionals/clinical-policy-bulletins/medical-clinical-policy-bulletins.html
    Aetna has reached these conclusions based upon a review of currently available clinical information (including clinical outcome studies in the peer-reviewed published …

0084 Eyelid Surgery - Aetna

    https://www.aetnabetterhealth.com/pennsylvania/assets/pdf/pharmacy/pharmacy-bulletins/0084%20Eyelid%20Surgery.pdf
    Blepharoplasty to remove excess tissue either above or below the eyes may also be medically necessary and covered to correct prosthesis difficulties in an …

CG-SURG-03 Blepharoplasty, Blepharoptosis Repair, …

    https://www.anthem.com/dam/medpolicies/abcbs/active/guidelines/gl_pw_a051144.html
    Blepharoplasty is a surgical procedure performed on the upper and/or lower eyelids in which redundant tissues (skin, muscle, or fat) are excised. Blepharoptosis …

Clinical guidelines and policy bulletins - Aetna

    https://www.aetnabetterhealth.com/clinical-guidelines-policy-bulletins.html
    Clinical guidelines and policy bulletins Guidelines We’ve chosen certain clinical guidelines to help our providers get members high-quality, consistent care that uses services and …

Septoplasty and Rhinoplasty - Medical Clinical Policy …

    https://www.aetna.com/cpb/medical/data/1_99/0005.html
    Aetna considers septoplasty experimental and investigational for all other indications (e.g., allergic rhinitis) because its effectiveness other than the ones listed above has not been …

Botulinum Toxin - Medical Clinical Policy Bulletins | Aetna

    https://www.aetna.com/cpb/medical/data/100_199/0113.html
    As defined in Aetna commercial policies, health care services are not medically necessary when they are more costly than alternative services that are at least as …

Cataract Surgery - Medical Clinical Policy Bulletins | Aetna

    https://www.aetna.com/cpb/medical/data/500_599/0508.html
    The member's medical and mental health should permit surgery to be performed safely. Educational: The member has been educated about the risks and benefits of …

Knee Arthroplasty - Medical Clinical Policy Bulletins | Aetna

    https://www.aetna.com/cpb/medical/data/600_699/0660.html
    This Clinical Policy Bulletin addresses knee arthroplasty. Medical Necessity Food and Drug Administration (FDA) approved total knee arthroplasty (TKA) prosthesis is considered …



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