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.
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12 policies name J9370, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| Fundus Photography | 0539 · Commercial | 13 | Original policy ↗ |
| 0940-Mogamulizumab-kpkc (Poteligeo) | 0940 · Commercial | 19 | Original policy ↗ |
| 0876-Temozolomide (Temodar) Injection | 0876 · Commercial | 21 | Original policy ↗ |
| 0919-Inotuzumab Ozogamicin (Besponsa) | 0919 · Commercial | 22 | Original policy ↗ |
| 0904-Daratumumab (Darzalex) and Daratumumab and Hyaluronidase-fihj (Darzalex Faspro) | 0904 · Commercial | 39 | Original policy ↗ |
| 0925-Benralizumab (Fasenra) | 0925 · Commercial | 46 | Original policy ↗ |
| 0877-Obinutuzumab (Gazyva) | 0877 · Commercial | 52 | Original policy ↗ |
| Rituximab | 0314 · Commercial | 74 | Original policy ↗ |
| Post-Herpetic Neuralgia | 0725 · Commercial | 87 | Original policy ↗ |
| Tinnitus Treatments | 0406 · Commercial | 87 | Original policy ↗ |
| Hematopoietic Colony-Stimulating Factors (CSFs) | 0055 · Commercial | 91 | Original policy ↗ |
| Antiemetic Therapy | 0724 · Commercial | 152 | Original policy ↗ |