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 86628? Open Aetna’s official lists and confirm the member’s product there.

4 policies name 86628, those listing the fewest codes first. A policy that names a code may also list it as excluded.

Aetna policies
Policy	Details	Codes	Source
0038-Allergy and Hypersensitivity	0038 · Commercial	96	Original policy ↗
0499-Nonstandard Laboratory Test Panels	0499 · Commercial	121	Original policy ↗
Myalgic Encephalomyelitis - Chronic Fatigue Syndrome (ME/CSF)	0369 · Commercial	139	Original policy ↗
0648-Autism Spectrum Disorders	0648 · Commercial	284	Original 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.

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