Please check benefit plan descriptions for details. This policy statement supplements plan coverage language by identifying procedures that Aetna considers medically necessary despite cosmetic aspects, and other cosmetic procedures that Aetna considers not medically necessary. Please note that, while this poli...
and Zemaira) is required of all Aetna participating providers and members in applicable plan designs. For precertification of alpha 1-proteinase inhibitors, call (866) 752-7021 or fax (888) 267-3277. For Statement of Medical Necessity (SMN) precertification forms, seeSpecialty Pharmacy Precertific...
Clinical Policy Bulletins are developed by Aetna to assist in administering plan benefits and constitute neither offers of coverage nor medical advice. This Clinical Policy Bulletin contains only a partial, general description of plan or program benefits and does not constitute a contract. Aetna does ...
Clinical Policy Bulletins are developed by Aetna to assist in administering plan benefits and constitute neither offers of coverage nor medical advice. This Clinical Policy Bulletin contains only a partial, general description of plan or program benefits and does not constitute a contract. Aetna does ...
Precertification of intravenous tocilizumab (Actemra IV), tocilizumab-aazq (Tyenne IV), or tocilizumab-bavi (Tofidence IV) is required of all Aetna participating providers and members in applicable plan designs. For precertification of intravenous tocilizumab products, call (866) 752-7021 or fax ...
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 ...
(Byooviz) is required of all Aetna participating providers and members in applicable plan designs. For precertification of aflibercept [(Eylea), (Eylea HD)], aflibercept-jbvf (Yesafili), aflibercept-mrbb (Ahzantive), aflibercept-yszy (Opuviz), brolucizumab-dbll (Beovu), faricimab-svoa ...
Please check benefit plan descriptions. Related Policies CPB 0013 - Cochlear Implants and Auditory Brainstem Implants CPB 0612 - Hearing AidsTable: CPT Codes / HCPCS Codes / ICD-10 Codes CPT codes covered if selection criteria are met: Information in the [brackets] below has been added for ...
(38 % versus 17 %, p = 0.05). The authors concluded that seizure severity was greater and treatment response was lower among infants born term with complicated ICH. These data supported the use of continuous video-EEG monitoring to accurately detect seizures and a multi-step treatment plan ...
Computerized dynamic posturography (CDP) or dynamic posturography is designed to help determine the severity of balance problems, estimate prognosis and plan treatment; it is also referred to as balance board testing, equilibrium platform testing or visual vertical testing. Dynamic posturography has been...