Aetna policy

Lymphedema

Lymphedema is a public Aetna policy (policy 0069). It lists 130 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

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Payer
Aetna
Policy number
0069
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.

CodeOther Aetna policies
00001Policies naming 00001
00084Policies naming 00084
0232TPolicies naming 0232T
0358TPolicies naming 0358T
0481TPolicies naming 0481T
1019TPolicies naming 1019T
14000Policies naming 14000
14350Policies naming 14350
15830Policies naming 15830
15832Policies naming 15832
15833Policies naming 15833
15834Policies naming 15834
15835Policies naming 15835
15836Policies naming 15836
15837Policies naming 15837
15838Policies naming 15838
15839Policies naming 15839
15847Policies naming 15847
15876Policies naming 15876
15879Policies naming 15879
29583Policies naming 29583
29584Policies naming 29584
38308Policies naming 38308
49904Policies naming 49904
49905Policies naming 49905
49906Policies naming 49906
77046Policies naming 77046
77047Policies naming 77047
77048Policies naming 77048
77049Policies naming 77049
78195Policies naming 78195
93702Policies naming 93702
97016Policies naming 97016
97113Policies naming 97113
97140Policies naming 97140
97810Policies naming 97810
97814Policies naming 97814
A4465Policies naming A4465
A6511Policies naming A6511
A6515Policies naming A6515
A6516Policies naming A6516
A6519Policies naming A6519
A6520Policies naming A6520
A6521Policies naming A6521
A6522Policies naming A6522
A6523Policies naming A6523
A6524Policies naming A6524
A6527Policies naming A6527
A6528Policies naming A6528
A6529Policies naming A6529
A6530Policies naming A6530
A6549Policies naming A6549
A6552Policies naming A6552
A6564Policies naming A6564
A6565Policies naming A6565
A6566Policies naming A6566
A6567Policies naming A6567
A6568Policies naming A6568
A6569Policies naming A6569
A6570Policies naming A6570
A6571Policies naming A6571
A6572Policies naming A6572
A6573Policies naming A6573
A6574Policies naming A6574
A6575Policies naming A6575
A6576Policies naming A6576
A6577Policies naming A6577
A6578Policies naming A6578
A6579Policies naming A6579
A6580Policies naming A6580
A6581Policies naming A6581
A6582Policies naming A6582
A6583Policies naming A6583
A6584Policies naming A6584
A6585Policies naming A6585
A6587Policies naming A6587
A6588Policies naming A6588
A6589Policies naming A6589
A6593Policies naming A6593
A6594Policies naming A6594
A6595Policies naming A6595
A6596Policies naming A6596
A6597Policies naming A6597
A6598Policies naming A6598
A6599Policies naming A6599
A6600Policies naming A6600
A6601Policies naming A6601
A6602Policies naming A6602
A6603Policies naming A6603
A6604Policies naming A6604
A6605Policies naming A6605
A6606Policies naming A6606
A6607Policies naming A6607
A6608Policies naming A6608
A6609Policies naming A6609
A6610Policies naming A6610
C8903Policies naming C8903
C8905Policies naming C8905
C8906Policies naming C8906
C8908Policies naming C8908
E0650Policies naming E0650
E0651Policies naming E0651
E0652Policies naming E0652
E0655Policies naming E0655
E0656Policies naming E0656
E0657Policies naming E0657
E0658Policies naming E0658
E0659Policies naming E0659
E0660Policies naming E0660
E0665Policies naming E0665
E0666Policies naming E0666
E0667Policies naming E0667
E0668Policies naming E0668
E0669Policies naming E0669
E0670Policies naming E0670
E0671Policies naming E0671
E0672Policies naming E0672
E0673Policies naming E0673
E0676Policies naming E0676
E0677Policies naming E0677
E0678Policies naming E0678
E0679Policies naming E0679
E0680Policies naming E0680
E0681Policies naming E0681
E0682Policies naming E0682
G0460Policies naming G0460
P9020Policies naming P9020
S8420Policies naming S8420
S8428Policies naming S8428
S8950Policies naming S8950

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.