Aetna policy
0851-Palifermin (Kepivance)
0851-Palifermin (Kepivance) is a public Aetna policy (policy 0851). It lists 7 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Payer
- Aetna
- Policy number
- 0851
- 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 |
|---|---|
| 38240 | Policies naming 38240 |
| 38241 | Policies naming 38241 |
| 38242 | Policies naming 38242 |
| J2425 | Policies naming J2425 |
| J9250 | Policies naming J9250 |
| J9255 | Policies naming J9255 |
| J9260 | Policies naming J9260 |