Aetna policy

0016-Back Pain - Invasive Procedures

0016-Back Pain - Invasive Procedures is a public Aetna policy (policy 0016). It lists 214 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

View the original policy ↗

Check eligibility for free

No account required. Sign a BAA to see plan details, coordination of benefits and more

Payer
Aetna
Policy number
0016
Line of business
Commercial
Source
www.aetna.com

Codes in this policy

The CPT and HCPCS codes the policy names. A policy can name a code it excludes. Open official prior authorization lists to check the member’s product.

CodeOther Aetna policies
0200TPolicies naming 0200T
0201TPolicies naming 0201T
0202TPolicies naming 0202T
0213TPolicies naming 0213T
0214TPolicies naming 0214T
0215TPolicies naming 0215T
0216TPolicies naming 0216T
0217TPolicies naming 0217T
0218TPolicies naming 0218T
0219TPolicies naming 0219T
0220TPolicies naming 0220T
0221TPolicies naming 0221T
0222TPolicies naming 0222T
0232TPolicies naming 0232T
0274TPolicies naming 0274T
0275TPolicies naming 0275T
0775TPolicies naming 0775T
15769Policies naming 15769
20550Policies naming 20550
20551Policies naming 20551
20552Policies naming 20552
20553Policies naming 20553
20560Policies naming 20560
20561Policies naming 20561
20931Policies naming 20931
20936Policies naming 20936
20938Policies naming 20938
22206Policies naming 22206
22207Policies naming 22207
22208Policies naming 22208
22214Policies naming 22214
22216Policies naming 22216
22220Policies naming 22220
22224Policies naming 22224
22226Policies naming 22226
22510Policies naming 22510
22511Policies naming 22511
22512Policies naming 22512
22513Policies naming 22513
22514Policies naming 22514
22515Policies naming 22515
22532Policies naming 22532
22548Policies naming 22548
22630Policies naming 22630
22632Policies naming 22632
22812Policies naming 22812
22853Policies naming 22853
22854Policies naming 22854
22859Policies naming 22859
22867Policies naming 22867
22868Policies naming 22868
22869Policies naming 22869
22870Policies naming 22870
22899Policies naming 22899
27006Policies naming 27006
27035Policies naming 27035
27080Policies naming 27080
27096Policies naming 27096
27278Policies naming 27278
27279Policies naming 27279
27280Policies naming 27280
62263Policies naming 62263
62264Policies naming 62264
62267Policies naming 62267
62280Policies naming 62280
62281Policies naming 62281
62282Policies naming 62282
62287Policies naming 62287
62292Policies naming 62292
62302Policies naming 62302
62303Policies naming 62303
62305Policies naming 62305
62318Policies naming 62318
62319Policies naming 62319
62320Policies naming 62320
62321Policies naming 62321
62322Policies naming 62322
62323Policies naming 62323
62324Policies naming 62324
62325Policies naming 62325
62326Policies naming 62326
62327Policies naming 62327
62380Policies naming 62380
63001Policies naming 63001
63020Policies naming 63020
63075Policies naming 63075
63078Policies naming 63078
63081Policies naming 63081
63082Policies naming 63082
63091Policies naming 63091
63185Policies naming 63185
63190Policies naming 63190
64420Policies naming 64420
64421Policies naming 64421
64450Policies naming 64450
64451Policies naming 64451
64479Policies naming 64479
64480Policies naming 64480
64483Policies naming 64483
64484Policies naming 64484
64490Policies naming 64490
64491Policies naming 64491
64492Policies naming 64492
64493Policies naming 64493
64494Policies naming 64494
64495Policies naming 64495
64625Policies naming 64625
64628Policies naming 64628
64629Policies naming 64629
64633Policies naming 64633
64634Policies naming 64634
64635Policies naming 64635
64636Policies naming 64636
64712Policies naming 64712
64772Policies naming 64772
69990Policies naming 69990
72125Policies naming 72125
72133Policies naming 72133
72141Policies naming 72141
72158Policies naming 72158
72200Policies naming 72200
72202Policies naming 72202
72240Policies naming 72240
72270Policies naming 72270
72275Policies naming 72275
76942Policies naming 76942
77002Policies naming 77002
77003Policies naming 77003
77021Policies naming 77021
77080Policies naming 77080
77085Policies naming 77085
77086Policies naming 77086
80323Policies naming 80323
95873Policies naming 95873
95874Policies naming 95874
96365Policies naming 96365
96366Policies naming 96366
96368Policies naming 96368
96372Policies naming 96372
97001Policies naming 97001
97139Policies naming 97139
97161Policies naming 97161
97168Policies naming 97168
97763Policies naming 97763
97799Policies naming 97799
98940Policies naming 98940
98941Policies naming 98941
98942Policies naming 98942
98943Policies naming 98943
99406Policies naming 99406
99407Policies naming 99407
C1062Policies naming C1062
C1821Policies naming C1821
C1831Policies naming C1831
C2614Policies naming C2614
C7504Policies naming C7504
C7505Policies naming C7505
C7507Policies naming C7507
C7508Policies naming C7508
C9144Policies naming C9144
C9757Policies naming C9757
C9808Policies naming C9808
C9809Policies naming C9809
E0200Policies naming E0200
E0239Policies naming E0239
G0259Policies naming G0259
G0260Policies naming G0260
G0276Policies naming G0276
J0665Policies naming J0665
J0666Policies naming J0666
J0702Policies naming J0702
J1010Policies naming J1010
J1020Policies naming J1020
J1030Policies naming J1030
J1040Policies naming J1040
J1094Policies naming J1094
J1100Policies naming J1100
J1130Policies naming J1130
J1700Policies naming J1700
J1710Policies naming J1710
J1720Policies naming J1720
J1736Policies naming J1736
J1737Policies naming J1737
J1738Policies naming J1738
J1741Policies naming J1741
J1885Policies naming J1885
J2002Policies naming J2002
J2003Policies naming J2003
J2004Policies naming J2004
J2650Policies naming J2650
J2919Policies naming J2919
J2920Policies naming J2920
J2930Policies naming J2930
J3300Policies naming J3300
J3301Policies naming J3301
J3302Policies naming J3302
J3303Policies naming J3303
J3304Policies naming J3304
J3420Policies naming J3420
J3470Policies naming J3470
J3471Policies naming J3471
J3472Policies naming J3472
J3473Policies naming J3473
J3475Policies naming J3475
L0112Policies naming L0112
L0999Policies naming L0999
Q9951Policies naming Q9951
Q9958Policies naming Q9958
Q9967Policies naming Q9967
S2350Policies naming S2350
S2351Policies naming S2351
S4995Policies naming S4995
S9117Policies naming S9117
S9453Policies naming S9453

All Aetna policies · Aetna prior authorization CPT list

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.