Search by CPT code Use our tool to check if we require precertification. You can also learn if there's a special program. Number of codes to search? Precertification Medical preferred drugs When is precertification required? Precertification applies to all benefit plans that have a pre...
CPT codes not covered for indications listed in the CPB: Sports Rehabilitation, The Interactive Metronome Program, MEDEK Therapy, Hands-hyphenFree Ultrasound and Low-hyphenFrequency Sound (Infrasound), Hivamat Therapy (Deep Oscillation Therapy), Applied Functional Science, McKenzie Method of Mechanical...
for example medications or therapy, substantive non-compliance, whether willing or involuntary, can be grounds for denial of wheelchair coverage if it results in the individual continuing to have a significant limitation. It
CPT Codes / HCPCS Codes / ICD-10 Codes CPT codes covered if criteria are met: Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+": Background Quantitative Muscle Testing Devices Muscle strength testing may be used...
CPT codes covered if selection criteria are met: Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+": Background The decision to perform routine prostate cancer screening with digital rectal examination (DRE) or prost...
Applicable CPT / HCPCS / ICD-10 Codes Background References Policy Scope of Policy This Clinical Policy Bulletin addresses cosmetic surgery and procedures. Introduction Aetna plans exclude coverage of cosmetic surgery and procedures that are not medically necessary, but generally provide coverage when the...
Most Aetna benefit plans exclude coverage of cosmetic procedures. Please check benefit plan descriptions for details. Related Policies CPB 0389 - Hypertrophic Scars and Keloids CPB 0567 - Actinic Keratoses Treatments Table: CPT Codes / HCPCS Codes / ICD-10 Codes CPT codes covered if selection crit...
CPT codes covered if selection criteria are met: Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+": CodeCode Description 97802 Medical nutrition therapy; initial assessment and intervention, individual, face-hyphento-...
CPT codes covered if selection criteria are met: Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+": CodeCode Description 33927 Implantation of a total replacement heart system (artificial heart) with recipient cardi...
CPT codes covered if selection criteria are met: Information in the [brackets] below has been added for clarification purposes. Codes requiring a 7th character are represented by "+": CodeCode Description Femtosecond laser-hyphenassisted cataract surgery, capsular tension rings (e.g., StabilEyes) ...