Aetna policy
0929-Lutetium Lu Dotatate (Lutathera) and Lutetium Lu 177 Vipivotide Tetraxetan (Pluvicto)
0929-Lutetium Lu Dotatate (Lutathera) and Lutetium Lu 177 Vipivotide Tetraxetan (Pluvicto) is a public Aetna policy (policy 0929). It lists 37 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
Check eligibility for free
No account required. Sign a BAA to see plan details, coordination of benefits and more
- Payer
- Aetna
- Policy number
- 0929
- 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 |
|---|---|
| 54520 | Policies naming 54520 |
| 54522 | Policies naming 54522 |
| 54530 | Policies naming 54530 |
| 54535 | Policies naming 54535 |
| 54690 | Policies naming 54690 |
| 79101 | Policies naming 79101 |
| 84307 | Policies naming 84307 |
| 84402 | Policies naming 84402 |
| 84403 | Policies naming 84403 |
| 96413 | Policies naming 96413 |
| 96417 | Policies naming 96417 |
| A9513 | Policies naming A9513 |
| A9593 | Policies naming A9593 |
| A9594 | Policies naming A9594 |
| A9607 | Policies naming A9607 |
| J1675 | Policies naming J1675 |
| J1930 | Policies naming J1930 |
| J1932 | Policies naming J1932 |
| J1950 | Policies naming J1950 |
| J1951 | Policies naming J1951 |
| J1952 | Policies naming J1952 |
| J1954 | Policies naming J1954 |
| J2353 | Policies naming J2353 |
| J2354 | Policies naming J2354 |
| J3315 | Policies naming J3315 |
| J3316 | Policies naming J3316 |
| J9003 | Policies naming J9003 |
| J9155 | Policies naming J9155 |
| J9171 | Policies naming J9171 |
| J9172 | Policies naming J9172 |
| J9202 | Policies naming J9202 |
| J9217 | Policies naming J9217 |
| J9218 | Policies naming J9218 |
| J9219 | Policies naming J9219 |
| J9225 | Policies naming J9225 |
| J9226 | Policies naming J9226 |
| S9560 | Policies naming S9560 |