Aetna policies, page 104

Search Aetna's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

5,481 public policies Substrate tracks for Aetna, by title.

Aetna policies
PolicyDetailsCodesSource
Pulsed Electromagnetic Stimulation0175 · Commercial10Original policy ↗
Purixan 2982-A SGM P20222982-A · Commercial—Original policy ↗
Quantitative Sensory Testing Methods0357 · Commercial11Original policy ↗
Quantitative, Functional and Connectomic Analysis of Brain MRI0739 · Commercial5Original policy ↗
Radiation Treatment for Selected Nononcologic Indications0551 · Commercial11Original policy ↗
Radiofrequency Tumor Ablation0492 · Commercial14Original policy ↗
Ranexa PA Policy 873-A 05-2021873-A · Commercial—Original policy ↗
Rebif 1839-A SGM P20241839-A · Commercial—Original policy ↗
Recurrent Pregnancy Loss0348 · Commercial109Original policy ↗
Regranex PA with Limit 186-C P07-2024_R186-C · Commercial—Original policy ↗
Remicade-Avsola-Inflectra-Renflexis 2182-A SGM P2021a2182-A · Commercial—Original policy ↗
Respiratory Devices: Incentive Spirometers, Vaporizers and Intermittent Positive Pressure Breathing Machines0479 · Commercial24Original policy ↗
RET Proto-Oncogene Testing0319 · Commercial5Original policy ↗
Retifanlimab-dlwr (Zynyz)1030 · Commercial23Original policy ↗
Retinopathy Telescreening Systems0563 · Commercial4Original policy ↗
Revakinagene Taroretcel-lwey (Encelto)1079 · Commercial24Original policy ↗
Reyvow ST with Limit, Post PA Policy 3373-E 07-20223373-E · Commercial—Original policy ↗
Reyvow ST with Limit, Post PA Policy 3373-E UDR 06-20233373-E · Commercial—Original policy ↗
Rilonacept (Arcalyst)0770 · Commercial35Original policy ↗
Rituximab0314 · Commercial74Original policy ↗
Robotic-assisted Rehabilitation of the Extremities0778 · Commercial5Original policy ↗
Romidepsin0865 · Commercial4Original policy ↗
Rosacea0547 · Commercial30Original policy ↗
Routine Foot Care0046 · Commercial17Original policy ↗
Rozlytrek 3165-A SGM P20233165-A · Commercial—Original policy ↗
Rydapt 1817-A SGM P20231817-A · Commercial—Original policy ↗
Rydapt SGM 1817-A P20261817-A P2026 · Commercial—Original policy ↗
Safety Items0623 · Commercial33Original policy ↗
Salivary Tests0608 · Commercial34Original policy ↗
Santyl (Collagenase) PA with Limit Policy 1773-C 04-20211773-C · Commercial—Original policy ↗
Savella ST, Post PA 3204-D P06-2024_R3204-D · Commercial—Original policy ↗
Savella ST, Post PA 3204-D P06-20253204-D · Commercial—Original policy ↗
Savella ST, Post PA Policy 3204-D 07-20223204-D · Commercial—Original policy ↗
Saxenda PA Policy 1227-A 08-20221227-A · Commercial—Original policy ↗
Scalp Cooling (Hypothermia) to Prevent Hair Loss During Chemotherapy0290 · Commercial5Original policy ↗
SCIG SGM 2043-A P2024_R2043-A · Commercial—Original policy ↗
SCIG SGM 2043-A P20252043-A · Commercial—Original policy ↗
Screening for Lipid Disorders0525 · Commercial6Original policy ↗
Scrotal Ultrasonography0532 · Commercial1Original policy ↗
Seat Lifts and Patient Lifts0459 · Commercial24Original policy ↗
Selected Aortic Valve Procedures0407 · Commercial4Original policy ↗
Selected Kidney Function Tests0775 · Commercial10Original policy ↗
Selective Peripheral Denervation (Bertrand Procedure)0401 · Commercial6Original policy ↗
Septoplasty and Rhinoplasty0005 · Commercial35Original policy ↗
Serostim 1870-A SGM P20221870-A · Commercial—Original policy ↗
Sevenfact SGM 3760-A P20253760-A · Commercial—Original policy ↗
sildenafil-Revatio 1651-A SGM P20211651-A · Commercial—Original policy ↗
Single Photon Emission Computed Tomography (SPECT)0376 · Commercial, Medicaid21Original policy ↗
Sirturo PA Policy 923-A 03-2022923-A · Commercial—Original policy ↗
Skilled Home Health Care Nursing Services0201 · Commercial59Original policy ↗

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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.