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Not all plans provide coverage of preventive services. Please check benefit plan descriptions for details. Bivalent Cervarix and quadrivalent Gardasil are no longer being distributed in the United States. Related Policies CPB 0443 - Cervical Cancer Screening and Diagnosis Table: CPT Codes / HCPCS Codes...
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...
Please check benefit plan descriptions. See CPB 0451 - Foot Orthotics. Related Policies CPB 0009 - Orthopedic Casts, Braces and Splints CPB 0451 - Foot Orthotics CPB 0623 - Safety Items CPB 0696 - Suit Therapy Table: CPT Codes / HCPCS Codes / ICD-10 Codes Information in the [brackets] bel...
Note:Genetic counseling for pregnancy management may not be covered under plans that exclude family planning benefits. Please check benefit plan descriptions for details. Related Policies CPB 0140 - Genetic Testing Table: CPT Codes / HCPCS Codes / ICD-10 Codes ...
Applicable CPT / HCPCS / ICD-10 Codes Background Policy Scope of Policy This Clinical Policy Bulletin addresses biochemical markers of bone remodeling. Experimental, Investigational, or Unproven Aetna considers measurements of the following bone turnover markers for evaluating fracture risk experimental, ...
CPT Codes / HCPCS Codes / ICD-10 Codes 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): ...
Applicable CPT / HCPCS / ICD-10 Codes Background References Policy Scope of Policy This Clinical Policy Bulletin addresses gender affirming surgery. Note: Some plans may cover gender affirming procedures in addition to the following policy. Please check the specific benefit plan documents. Medical ...
CPT codes covered if selection criteria are met: Supraglottoplasty – no specific code ICD-hyphen10 codes covered if selection criteria are met: Q31.5 Congenital laryngomalacia [in members 2 years of age or younger with documented hypoxia, hypercapnia, failure to thrive, infantile sleep apnea, ...
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. ...