Aetna policies
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.
Checking prior authorization for 21088? Open Aetna’s official lists and confirm the member’s product there.
4 policies name 21088, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| Stereolithographic Models and Implants | 0613 · Commercial | 30 | Original policy ↗ |
| Facial Prostheses, External | 0620 · Commercial | 35 | Original policy ↗ |
| Orthognathic Surgery | 0095 · Commercial | 72 | Original policy ↗ |
| 0082-Dental Services and Oral and Maxillofacial Surgery: Coverage Under Medical Plans | 0082 · Commercial | 156 | Original policy ↗ |