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 96379? Open Aetna’s official lists and confirm the member’s product there.

32 policies name 96379, those listing the fewest codes first. A policy that names a code may also list it as excluded.

Aetna policies
PolicyDetailsCodesSource
Histamine Desensitization Therapy for Intractable Headaches0647 · Commercial2Original policy ↗
1028-Difelikefalin (Korsuva) Injection1028 · Commercial3Original policy ↗
0794-Ofatumumab (Arzerra)0794 · Commercial6Original policy ↗
0709-Nesiritide (Natrecor)0709 · Commercial7Original policy ↗
0740-Pralatrexate0740 · Commercial7Original policy ↗
0768-Romiplostim (Nplate)0768 · Commercial9Original policy ↗
0868-Decitabine0868 · Commercial11Original policy ↗
0524-Zoledronic Acid0524 · Commercial13Original policy ↗
Coronary Artery Brachytherapy and Other Adjuncts to Coronary Interventions0491 · Commercial13Original policy ↗
0022-Calcitriol, Etelcalcetide, and Paricalcitol Injections0022 · Commercial14Original policy ↗
Hereditary Angioedema0782 · Commercial14Original policy ↗
Gene-Based Therapy for Duchenne Muscular Dystrophy (DMD)0911 · Commercial17Original policy ↗
0748-Panitumumab (Vectibix)0748 · Commercial18Original policy ↗
0675-Bortezomib Products0675 · Commercial23Original policy ↗
0751-Natalizumab0751 · Commercial26Original policy ↗
Intravenous Iron Therapy0575 · Commercial28Original policy ↗
0915-Nusinersen (Spinraza)0915 · Commercial30Original policy ↗
Somatostatin Analogs0693 · Commercial31Original policy ↗
0810-Gout0810 · Commercial34Original policy ↗
Pemetrexed Products0687 · Commercial35Original policy ↗
0845-Carfilzomib (Kyprolis)0845 · Commercial38Original policy ↗
0024-Aldesleukin (Proleukin)0024 · Commercial39Original policy ↗
Human Fibrinogen Concentrate Products0792 · Commercial49Original policy ↗
0912-Ustekinumab0912 · Commercial61Original policy ↗
Clotting Factors0131 · Commercial64Original policy ↗
Injectable Medications0020 · Commercial64Original policy ↗
Golimumab (Simponi and Simponi Aria)0790 · Commercial74Original policy ↗
Lysosomal Storage Disorder Treatments0442 · Commercial76Original policy ↗
0799-Tocilizumab0799 · Commercial81Original policy ↗
Post-Herpetic Neuralgia0725 · Commercial87Original policy ↗
Infliximab0341 · Commercial92Original policy ↗
Myalgic Encephalomyelitis - Chronic Fatigue Syndrome (ME/CSF)0369 · Commercial139Original 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.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.