Aetna policy

Vitrectomy

Vitrectomy is a public Aetna policy (policy 0393). It lists 20 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

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Payer: Aetna
Policy number: 0393
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
66850	Policies naming 66850
66852	Policies naming 66852
66982	Policies naming 66982
66984	Policies naming 66984
66987	Policies naming 66987
66988	Policies naming 66988
66989	Policies naming 66989
66991	Policies naming 66991
67005	Policies naming 67005
67010	Policies naming 67010
67027	Policies naming 67027
67036	Policies naming 67036
67039	Policies naming 67039
67040	Policies naming 67040
67041	Policies naming 67041
67042	Policies naming 67042
67043	Policies naming 67043
67107	Policies naming 67107
67108	Policies naming 67108
67113	Policies naming 67113

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.