Aetna policies, page 109

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
Transpupillary Thermal Therapy0490 · Commercial11Original policy ↗
Transvaginal Ultrasonography0530 · Commercial6Original policy ↗
Trastuzumab Products0313 · Commercial28Original policy ↗
Treatments to Control Drooling (Sialorrhea)0265 · Commercial15Original policy ↗
Tremfya 2156-A SGM P20232156-A · Commercial—Original policy ↗
treprostinil-Remodulin SGM 1644-A P20251644-A · Commercial—Original policy ↗
Tresiba ST, Post PA (Aetna SG ACA, IVL Only) Policy 4773-D UDR 05-20234773-D · Commercial—Original policy ↗
Tretten SGM 2985-A P20252985-A · Commercial—Original policy ↗
Trigeminal Neuralgia: Treatments0374 · Commercial88Original policy ↗
Trikafta 3374-A SGM P2023a3374-A · Commercial—Original policy ↗
Triptodur SGM 2504-A, 6055-A P2026a2504-A, 6055-A P2026a · Commercial—Original policy ↗
Truqap SGM 6252-A P2025a6252-A P2025a · Commercial—Original policy ↗
Tuberculosis Testing0471 · Commercial29Original policy ↗
Tumor Chemosensitivity Assays0245 · Commercial24Original policy ↗
Tumor Markers0352 · Commercial368Original policy ↗
Tymlos SGM 1826-A P2024_R1826-A · Commercial—Original policy ↗
Tyvaso 1650-A SGM P20231650-A · Commercial—Original policy ↗
Ukoniq 4501-A SGM P2021b4501-A SGM P2021b · Commercial—Original policy ↗
Ultra Rapid Detoxification (UROD)0317 · Commercial2Original policy ↗
Upper Limb Prostheses0399 · Commercial101Original policy ↗
Urinary Incontinence0223 · Commercial119Original policy ↗
Urological Supplies0533 · Commercial154Original policy ↗
Vaccines for Travel0473 · Commercial, Medicaid29Original policy ↗
Vagus Nerve Stimulation0191 · Commercial36Original policy ↗
Vanflyta SGM 6096-A P20266096-A · Commercial—Original policy ↗
Varicocele: Selected Treatments0413 · Commercial6Original policy ↗
Varicose Veins0050 · Commercial44Original policy ↗
Vascular Endothelial Growth Factor Inhibitors for Ocular Indications0701 · Commercial29Original policy ↗
Vecamyl 2992-A Supplemental Specialty PA P20232992-A · Commercial—Original policy ↗
Velsipity SGM 6216-A P20256216-A · Commercial—Original policy ↗
Vemlidy 2901-A Supplemental Specialty PA P20222901-A · Commercial—Original policy ↗
Ventavis SGM 1648-A P20251648-A · Commercial—Original policy ↗
Ventricular Assist Devices0654 · Commercial100Original policy ↗
Ventricular Remodeling Operation (Batista Procedure) and Surgical Ventricular Restoration (Dor Procedure)0182 · Commercial4Original policy ↗
Vertebral Axial Decompression0180 · Commercial3Original policy ↗
Verzenio SGM 2342-A P20262342-A · Commercial—Original policy ↗
Vesicoureteral Reflux Treatment by Endoscopic Injection of Bulking Agents0534 · Commercial11Original policy ↗
Vestibular Autorotation Test (VAT)0467 · Commercial2Original policy ↗
Vfend PA 241-A P01-2026241-A · Commercial—Original policy ↗
Viberzi PA Policy 1287-A, 1271-A UDR 10-20231287-A, 1271-A · Commercial—Original policy ↗
Virtual Gastrointestinal Endoscopy0535 · Commercial15Original policy ↗
Viscosupplementation0179 · Commercial66Original policy ↗
Visudyne 3011-A SGM P20243011-A · Commercial—Original policy ↗
Vitamin B-12 Therapy0536 · Commercial19Original policy ↗
Vitamin D Analogs Topical Logic with Limit, Post PA Policy 1381-E 07-20211381-E · Commercial—Original policy ↗
Vitiligo0422 · Commercial70Original policy ↗
Vitrectomy0393 · Commercial20Original policy ↗
Vivjoa PA with Limit 5448-C P01-20265448-C · Commercial—Original policy ↗
Voice Prosthesis for Voice Rehabilitation Following Total Laryngectomy0560 · Commercial13Original policy ↗
Voice Therapy0646 · Commercial32Original 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.