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 58353? Open Aetna’s official lists and confirm the member’s product there.
6 policies name 58353, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| 0657-Tubal Sterilization | 0657 · Commercial | 14 | Original policy ↗ |
| 0091-Endometrial Ablation | 0091 · Commercial | 16 | Original policy ↗ |
| 0304-Fibroid Treatment | 0304 · Commercial | 29 | Original policy ↗ |
| Gonadotropin-Releasing Hormone Analogs and Antagonists | 0501 · Commercial | 29 | Original policy ↗ |
| Cryoablation | 0100 · Commercial | 37 | Original policy ↗ |
| Premenstrual Syndrome and Premenstrual Dysphoric Disorder | 0512 · Commercial | 69 | Original policy ↗ |