The guidelines defined criteria to make a medical diagnosis of lipedema, a minimum data set of (repeated) clinical measurements that should be used to ensure early detection and an individually outlined follow-up plan, pillars on which conservative treatment should be based and recommendations on su...
Note: Under most benefit plans, the following services and supplies for weight reduction are specifically excluded from coverage (please check benefit plan descriptions for details). Exercise programs or use of exercise equipment Rice diet or other special diet supplements (e.g., amino acid supplemen...
Aetna considers continuation of faricimab-svoa injection (Vabysmo) therapy medically necessary in members requesting reauthorization for an indication listed in Section I when the member has demonstrated a positive clinical response to therapy (e.g., improvement or maintenance in best corrected visual ...
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 ...
Furthermore, a Risk Evaluation and Mitigation Strategy (REMS) will require the drug sponsor to implement a communication plan for physicians informing them how to appropriately monitor their patients for liver and/or gastrointestinal side effects. The REMS will include a medication guide to ensure ...
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 ...
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 ...
Please check benefit plan descriptions. Aetna considers conventional cytogenetic analysis and quantitative fluorescent polymerase chain reaction (QF-PCR) a medically necessary method to detect trisomies whenever prenatal testing is performed solely because of an increased risk of aneuploidy in chromosomes 13,...
Precertification of botulinum toxin (Botox [onabotulinumtoxinA]; Daxxify [daxibotulinumtoxinA-lanm], Dysport [abobotulinumtoxinA]; Myobloc [rimabotulinumtoxinB]; and Xeomin [incobotulinumtoxinA]) is required of all Aetna participating providers and members in applicable plan designs. For precertifi...
Any applicable benefit plan exclusions and limitations for coverage of hearing aids would apply to air conduction hearing aids, implantable hearing aids and semi-implantable hearing aids. Please check benefit plan descriptions for details. For plans that do not exclude hearing aids, either OTC and ...