Aetna policy
0902-Irinotecan Liposome Injection (Onivyde)
0902-Irinotecan Liposome Injection (Onivyde) is a public Aetna policy (policy 0902). It lists 21 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Payer
- Aetna
- Policy number
- 0902
- 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 |
|---|---|
| 77401 | Policies naming 77401 |
| 77417 | Policies naming 77417 |
| 96401 | Policies naming 96401 |
| 96411 | Policies naming 96411 |
| 96413 | Policies naming 96413 |
| 96417 | Policies naming 96417 |
| H1048 | Policies naming H1048 |
| J0640 | Policies naming J0640 |
| J9035 | Policies naming J9035 |
| J9055 | Policies naming J9055 |
| J9184 | Policies naming J9184 |
| J9190 | Policies naming J9190 |
| J9196 | Policies naming J9196 |
| J9198 | Policies naming J9198 |
| J9201 | Policies naming J9201 |
| J9205 | Policies naming J9205 |
| J9263 | Policies naming J9263 |
| Q5107 | Policies naming Q5107 |
| Q5118 | Policies naming Q5118 |
| Q5126 | Policies naming Q5126 |
| Q5129 | Policies naming Q5129 |