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 88104? Open Aetna’s official lists and confirm the member’s product there.

5 policies name 88104, those listing the fewest codes first. A policy that names a code may also list it as excluded.

Aetna policies
Policy	Details	Codes	Source
Breast Ductal Lavage and Fiberoptic Ductoscopy	0517 · Commercial	10	Original policy ↗
0686-Oral Brush Biopsy	0686 · Commercial	13	Original policy ↗
0758-Tumor Chemoresistance Assays - CPB 0245	0758 · Commercial	14	Original policy ↗
Endometrial Cancer Screening, Diagnosis, and Prognosis	0769 · Commercial	21	Original policy ↗
Tumor Chemosensitivity Assays	0245 · Commercial	24	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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