The authors concluded that MPO may contribute to improved QOL and health status of persons with lower-extremity impairments by providing the ability to have better walking speed, endurance, and functional balance. Ankle Contraction Splints / Static Dynamic AFOs According to Medicare Durable Medical Equi...
Note: Most Aetna traditional plans cover durable medical equipment (DME) as a standard benefit. Standard Aetna HMO plans do not cover DME without a policy rider. Please check benefit plan descriptions for details. Certain orthopedic casts, braces and splints are covered under HMO plans without the...
EN should be considered in pediatric CD patients or in adult patients who can comply with NG tube feeding or perceive the formulations to be palatable, or when steroid side effects are not tolerated or better avoided. These researchers stated that further research is needed to confirm the superio...
Note: The intent of this policy is to permit the nutritional counselor to function as a consultant to evaluate the member and coordinate ongoing care with the referring physician. Some plans require referrals for nutritional counseling. Please check benefit plan descriptions. Table: CPT Codes / HCPC...
Note: This policy has updates that may not be in effect for certain plans until plan renewal; please check plan documents. Brand Selection for Medically Necessary Indications for Commercial Medical Plans Follitropins As defined in Aetna commercial policies, health care services are not medically ne...
The lack of a control group made it difficult to conclude that the treatment was better than other alternatives. However, this study presented a positive trend and should be considered as an additional non-invasive therapeutic option for patients with SONK. It should be emphasized that none of ...
Aetna does not cover vibrators, which have been used in the treatment of FSD because vibrators do not meet Aetna’s contractual definition of covered durable medical equipment (DME). Please check benefit plan descriptions. Coverage of DME is limited to devices that are not normally of use in ...
Note:Aetna does not cover computerized corneal topography if it is performed pre- or post-operatively in relation to a non-covered procedure (i.e., refractive eye surgery). Most Aetna benefit plans exclude coverage of refractive surgery. Please check benefit plan descriptions for details. ...
There is no specific CPT code for melanoma vaccine (e.g., Theraccine vaccine or Oncophage vaccine, cancer vaccine therapy, helper multi-peptide (6MHP) vaccine, or vaccine therapy including tumor-associated antigenic peptide-based vaccines): ...
Please check the specific benefit plan documents. Medical Necessity Aetna considers gender affirming surgery medically necessary when criteria for each of the following procedures is met: Requirements for Breast Removal Signed letter from a qualified mental health professional (see Appendix) assessing the ...