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 D0140? Open Aetna’s official lists and confirm the member’s product there.

3 policies name D0140, those listing the fewest codes first. A policy that names a code may also list it as excluded.

Aetna policies
Policy	Details	Codes	Source
[Dental] 044 - Diagnostic tools and/or devices	044 · Commercial	2	Original policy ↗
[Dental] 040 - InitialPeriodontal Therapy Reevaluation	040 · Commercial	5	Original policy ↗
[Dental] 028 - Caries Detection Techniques	028 · Commercial	10	Original policy ↗

Back to Aetna · Aetna prior authorization CPT list

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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