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 72133? Open Aetna’s official lists and confirm the member’s product there.
7 policies name 72133, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| 0236-Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) of the Spine | 0236 · Commercial | 27 | Original policy ↗ |
| Intervertebral Disc Prostheses | 0591 · Commercial | 28 | Original policy ↗ |
| Spinal Cord Stimulation | 0194 · Commercial | 55 | Original policy ↗ |
| Spinal Surgery: Laminectomy and Fusion | 0743 · Commercial | 185 | Original policy ↗ |
| 0016-Back Pain - Invasive Procedures | 0016 · Commercial | 214 | Original policy ↗ |
| Participating provider precertification list for Aetna® | 1013000-01-35 · Effective Nov 1, 2025 · Commercial | 1,389 | Original policy ↗ |
| Participating provider precertification list for Aetna® | Effective Jan 1, 2026 · Commercial | 1,440 | Original policy ↗ |