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 97140? Open Aetna’s official lists and confirm the member’s product there.
15 policies name 97140, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| 0569-Lumbar Traction Devices | 0569 · Commercial | 5 | Original policy ↗ |
| Occupational Therapy | 0250 · Commercial | 10 | Original policy ↗ |
| Back Pain - Noninvasive Treatments | 0232 · Commercial | 11 | Original policy ↗ |
| 0665-Constraint-Induced Therapy | 0665 · Commercial | 20 | Original policy ↗ |
| Continuous Passive Motion (CPM) Machines | 0010 · Commercial | 44 | Original policy ↗ |
| Physical Therapy | 0325 · Commercial | 47 | Original policy ↗ |
| Headaches: Nonsurgical Management | 0462 · Commercial | 50 | Original policy ↗ |
| 0400-Eagle's and Ernest Syndrome | 0400 · Commercial | 61 | Original policy ↗ |
| Orthognathic Surgery | 0095 · Commercial | 72 | Original policy ↗ |
| Complementary and Alternative Medicine | 0388 · Commercial | 90 | Original policy ↗ |
| Multiple Sclerosis | 0264 · Commercial | 126 | Original policy ↗ |
| Lymphedema | 0069 · Commercial | 130 | Original policy ↗ |
| Attention Deficit/Hyperactivity Disorder | 0426 · Commercial | 188 | Original policy ↗ |
| Temporomandibular Disorders | 0028 · Commercial | 197 | Original policy ↗ |
| 0648-Autism Spectrum Disorders | 0648 · Commercial | 284 | Original policy ↗ |