The member has had a specialty evaluation that was performed by a licensed/certified medical professional, such as a PT or OT, or physician who has specific training and experience in rehabilitation wheelchair evaluations and that documents the medical necessity for the wheelchair and its special fea...
Applicable CPT / HCPCS / ICD-10 Codes Background References Policy Scope of Policy This Clinical Policy Bulletin addresses attention deficit hyperactivity disorder (ADHD). Medical Necessity Aetna considers certain services medically necessary for the assessment of attention deficit hyperactivity disorder (ADH...
Policy Applicable CPT / HCPCS / ICD-10 Codes Background ReferencesPolicyScope of PolicyThis Clinical Policy Bulletin addresses pharmacogenetic and pharmacodynamic testing.Medical Necessity Aetna considers the following tests medically necessary (unless otherwise stated): ABCD1 gene mutation testing for ...
Applicable CPT / HCPCS / ICD-10 Codes Background References Policy Scope of Policy This Clinical Policy Bulletin addresses cryoanalgesia and therapeutic cold. Medical Necessity Aetna considers the following medically necessary: The use of cryoanalgesia for the temporary relief of pain due to chronic ...