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Medical Clinical Policy Bulletins - Aetna

    https://www.aetna.com/health-care-professionals/clinical-policy-bulletins/medical-clinical-policy-bulletins.html
    Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Treating providers are solely responsible …

Obstructive Sleep Apnea in Adults - Medical Clinical …

    https://www.aetna.com/cpb/medical/data/1_99/0004.html
    CPT codes covered for indications listed in the CPB: 41120: Glossectomy; less than one-half tongue: 41130: Hemiglossectomy: ICD-10 codes covered for indications listed in the CPB: …

Color-Flow Doppler Echocardiography in Adults

    http://www.aetna.com/cpb/medical/data/1_99/0008.html

    Varicose Veins - Medical Clinical Policy Bulletins | Aetna

      http://www.aetna.com/cpb/medical/data/1_99/0050.html
      Aetna considers ambulatory phlebectomy or transilluminated powered phlebectomy (TriVex System) medically necessary adjunctive treatment of symptomatic saphenous veins, …

    Physical Therapy - Medical Clinical Policy Bulletins | Aetna

      https://www.aetna.com/cpb/medical/data/300_399/0325.html
      Clinical Policy Bulletins are developed by Aetna to assist in administering plan benefits and constitute neither offers of coverage nor medical advice. This Clinical Policy Bulletin …

    Corneal Remodeling - Medical Clinical Policy Bulletins

      https://www.aetna.com/cpb/medical/data/1_99/0023.html
      Aetna considers correction of surgically induced astigmatism with a corneal relaxing incision (including limbal relaxing incisions) or corneal wedge resection medically necessary if the …

    Nonstandard Laboratory Test Panels - Medical Clinical …

      https://www.aetna.com/cpb/medical/data/400_499/0499.html
      Aetna considers laboratory test panels experimental and investigational if they include nonstandard tests that have no proven value. Laboratory test panels may also be …

    Diabetes Tests, Programs and Supplies - Medical …

      https://www.aetna.com/cpb/medical/data/1_99/0070.html
      Aetna considers measurement of autoantibodies to GAD medically necessary for distinguishing type 1 from type 2 diabetes when the clinical history is ambiguous and the …

    Breast and Ovarian Cancer Susceptibility Gene Testing, …

      https://es.aetna.com/cpb/medical/data/200_299/0227.html
      Aetna considers prophylactic mastectomy experimental and investigational for all other indications (e.g., diabetic mastopathy, fibrocystic breast disease, pseudo-angiomatous …

    Prescription Digital Therapeutics - Medical Clinical Policy …

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



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