Aetna policy
[Dental] 033 - Space Maintenance in Primary Dentition - Loss of Primary Incisors
[Dental] 033 - Space Maintenance in Primary Dentition - Loss of Primary Incisors is a public Aetna policy (policy 033). It lists 13 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Payer
- Aetna
- Policy number
- 033
- 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 |
|---|---|
| D1510 | Policies naming D1510 |
| D1516 | Policies naming D1516 |
| D1517 | Policies naming D1517 |
| D1520 | Policies naming D1520 |
| D1526 | Policies naming D1526 |
| D1527 | Policies naming D1527 |
| D1551 | Policies naming D1551 |
| D1552 | Policies naming D1552 |
| D1553 | Policies naming D1553 |
| D1556 | Policies naming D1556 |
| D1557 | Policies naming D1557 |
| D1558 | Policies naming D1558 |
| D1575 | Policies naming D1575 |