Aetna policy
0795-Dexamethasone Ophthalmic Implant (Ozurdex) and Insert (Dextenza)
0795-Dexamethasone Ophthalmic Implant (Ozurdex) and Insert (Dextenza) is a public Aetna policy (policy 0795). It lists 31 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Payer
- Aetna
- Policy number
- 0795
- 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 |
|---|---|
| 66820 | Policies naming 66820 |
| 66821 | Policies naming 66821 |
| 66830 | Policies naming 66830 |
| 66840 | Policies naming 66840 |
| 66940 | Policies naming 66940 |
| 66982 | Policies naming 66982 |
| 66984 | Policies naming 66984 |
| 66985 | Policies naming 66985 |
| 67027 | Policies naming 67027 |
| 67028 | Policies naming 67028 |
| 68841 | Policies naming 68841 |
| C9257 | Policies naming C9257 |
| E3219 | Policies naming E3219 |
| E3559 | Policies naming E3559 |
| J0177 | Policies naming J0177 |
| J0178 | Policies naming J0178 |
| J1096 | Policies naming J1096 |
| J2778 | Policies naming J2778 |
| J2779 | Policies naming J2779 |
| J7312 | Policies naming J7312 |
| J9035 | Policies naming J9035 |
| J9100 | Policies naming J9100 |
| J9308 | Policies naming J9308 |
| J9400 | Policies naming J9400 |
| Q5107 | Policies naming Q5107 |
| Q5118 | Policies naming Q5118 |
| Q5124 | Policies naming Q5124 |
| Q5126 | Policies naming Q5126 |
| Q5128 | Policies naming Q5128 |
| Q5129 | Policies naming Q5129 |
| Q5155 | Policies naming Q5155 |