Aetna policy

Breast Pumps

Breast Pumps is a public Aetna policy (policy 0421). It lists 11 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

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Payer: Aetna
Policy number: 0421
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
A4281	Policies naming A4281
A4282	Policies naming A4282
A4283	Policies naming A4283
A4284	Policies naming A4284
A4285	Policies naming A4285
A4286	Policies naming A4286
A4287	Policies naming A4287
A4288	Policies naming A4288
E0602	Policies naming E0602
E0603	Policies naming E0603
E0604	Policies naming E0604

All Aetna policies · Aetna prior authorization CPT list

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.