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Invasive Procedures - Medical Clinical Policy Bulletins

    https://www.aetna.com/cpb/medical/data/1_99/0016.html
    Kyphoplasty (also known as balloon-assisted vertebroplasty) is a minimally-invasive orthopedic procedure, which has been developed to restore bone height lost due to painful osteoporotic compression fractures. It is a modification of the vertebroplasty …

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 medical …

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 - qawww.aetna.com

    https://qawww.aetna.com/health-care-professionals/clinical-policy-bulletins/medical-clinical-policy-bulletins.html
    Medical Clinical Policy Bulletins (CPBs) detail the services and procedures we consider medically necessary, cosmetic, or experimental and unproven. They help us decide what we will and will not cover. CPBs are based on: …

Septoplasty and Rhinoplasty - Medical Clinical Policy …

    https://www.aetna.com/cpb/medical/data/1_99/0005.html
    Aetna considers septoplasty medically necessary when any of the following clinical criteria is met: Asymptomatic septal deformity that prevents access to other intranasal areas when …

Urinary Incontinence - Medical Clinical Policy Bulletins

    https://www.aetna.com/cpb/medical/data/200_299/0223.html
    Aetna considers multi-channel urodynamic studies medically necessary when the member has both symptoms and physical findings of urinary incontinence/voiding dysfunctions …

Aetna Medical Policy Updates - September 2022

    https://policyalerts.com/aetna-medical-policy-updates-september-2022/
    September 2022 Aetna Medical Policy Updates: Abatacept (Orencia) Abatacept (Orencia) [Medicare] Abdominal Aortic Aneurysm Screening. Acoustic …

Knee Arthroplasty - Medical Clinical Policy Bulletins | Aetna

    https://www.aetna.com/cpb/medical/data/600_699/0660.html
    Because medical coding does not distinguish between customized and OTS implants in administrative claims data, the customized implant cohort was identified through …

Aetna Injection Policy For Back Pain - FSPMR

    http://www.fspmr.org/pdf/alerts/Aetna%20injection%20policy%20for%20back%20pain.pdf
    Aetna Injection Policy For Back Pain Aetna Injection Policy For Back Pain Number: 0016 Policy Aetna considers any of the following injections or procedures medically necessary …

Glaucoma Surgery - Medical Clinical Policy Bulletins

    https://www.aetna.com/cpb/medical/data/400_499/0484.html
    Aetna considers one or two iStent Trabecular Micro-Bypass Stents per eye medically necessary for the treatment of adults with mild or moderate open-angle glaucoma and a …



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