Service DescriptionCode Panel A: Infection Diagnoses (ICD-9-CM) (ICD-10-CM) Acute Respiratory Infections 460–466 J00-J06 Pneumonia and Influenza 480–488 J09-J18 Otitis media 381–382 H65–H66 Streptococcal sore throat and scarlet fever 034 A38, J02 Whooping cough 033 A37 Infectious mononu...
Footnote1*Note: Medically necessary self-administered prescription medications are usually covered under pharmacy benefit plans. Coverage of particular drugs within each class may be subjected to formulary restrictions, where applicable. Experimental, Investigational, or Unproven Aetna considers the following s...