Aetna policy
0124-General Anesthesia and Monitored Anesthesia Care for Oral and Maxillofacial Surgery and Dental Services
0124-General Anesthesia and Monitored Anesthesia Care for Oral and Maxillofacial Surgery and Dental Services is a public Aetna policy (policy 0124). It lists 19 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Payer
- Aetna
- Policy number
- 0124
- 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.
| Code | Other Aetna policies |
|---|---|
| 00170 | Policies naming 00170 |
| 00176 | Policies naming 00176 |
| 00190 | Policies naming 00190 |
| 00192 | Policies naming 00192 |
| 21010 | Policies naming 21010 |
| 21030 | Policies naming 21030 |
| 21034 | Policies naming 21034 |
| 21116 | Policies naming 21116 |
| 21141 | Policies naming 21141 |
| 21268 | Policies naming 21268 |
| 21275 | Policies naming 21275 |
| 21295 | Policies naming 21295 |
| 21497 | Policies naming 21497 |
| D9210 | Policies naming D9210 |
| D9211 | Policies naming D9211 |
| D9212 | Policies naming D9212 |
| D9215 | Policies naming D9215 |
| D9248 | Policies naming D9248 |
| G0330 | Policies naming G0330 |