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AETNA CDT CODES FOR 2014


Diagnostic tools and/or devices Policy (044) - Aetna
Mar 04, 2020Read about Aetna's policy on the use of diagnostic tools and/or devices in Dental CPB 044. CPBs include references to standard HIPAA compliant code sets to assist with search functions and to facilitate billing and payment for covered services. New and revised codes are added to the CPBs as they are updated. CDT 2020: Dental Procedure[PDF]
Claim Documentation Guidelines 09302019 - Aetna
Sep 30, 2019Procedures and Nomenclature (CDT®) codes.* The materials provided to you are guidelines used by this plan to authorize, modify, or deny care for persons with similar illnesses or conditions. Specific care and treatment may vary depending on individual need and the benefits covered under your contract. Restorative D2929-D2390 D2542-D2544File Size: 257KBPage Count: 7
Precertification Lists | CPT Code Lookup | Aetna
Please note that the Aetna Student Health Precertification List is currently under revision. For assistance and information, contact Aetna Student Health Customer Service at 1 [PDF]
bone - Aetna Dental
CDT Code Description (CDT code) CPT Code Description (CPT Code) RequiresPrecert / Review by OMFS PM D7270 Tooth reimplantation and/or stabilization of accidentally evulsed or displaced tooth 21140 Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) D7285 Biopsy of oral tissue (hard) 20220 Biopsy, muscle;File Size: 326KBPage Count: 21
Aetna
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Electroconvulsive Therapy - Medical Clinical - Aetna
PolicyBackgroundAppendix Aetna considers electroconvulsive therapy (ECT) medically necessary for members diagnosed with any of the following conditions.Aetna considers multiple monitored ECT experimental and investigational because its effectiveness has not been established.Aetna considers ultrabrief bilateral ECT experimental and investigational because its effectiveness Aetna considers electroconvulsive therapy (ECT) medically necessary for members diagnosed with any of the following conditions.Aetna considers multiple monitored ECT experimental and investigational because its effectiveness has not been established.Aetna considers ultrabrief bilateral ECT experimental and investigational because its effectiveness has not been established.Aetna considers adjunctive ketamine in ECT experimental and investigational because the effectiveness of this approach has not been established.See moreNew content will be added above the current area of focus upon selectionSee more on aetna
Temporary Anchorage Devices in Orthodontics (034) - Aetna
Important NotePolicyBackgroundCodes1Revision DatesThe Above Policy Is Based on The Following ReferencesThis Clinical Policy Bulletin explains how we determine whether certain services or supplies are medically necessary. We made these decisions based on a review of currently available clinical information including: 1. Clinical outcome studies in the peer-reviewed published medical and dental literature 2. Regulatory status of the technology 3. Evidence-based guidelines of public health and health research agencies 4. Evidence-based guidelines and positions of leading national health professional organizatioSee more on aetna
Frenulectomy (Frenectomy, Frenotomy) or - Aetna
Important NotePolicyBackgroundCodesRevision DatesThis Clinical Policy Bulletin explains how we determine whether certain services or supplies are medically necessary. We made these decisions based on a review of currently available clinical information including: 1. Clinical outcome studies in the peer-reviewed published medical and dental literature 2. Regulatory status of the technology 3. Evidence-based guidelines of public health and health research agencies 4. Evidence-based guidelines and positions of leading national health professional organizatioSee more on aetna
Hepatitis Screening - Medical Clinical Policy - Aetna
PolicyBackgroundAppendixAetna considers hepatitis B virus (HBV) screening medically necessary for the following individuals: 1. Current or former hemodialysis individuals 2. Donors of blood, plasma, organs, tissues, or semen 3. Household, needle-sharing, or sexual contacts of persons known to be HBV-positive 4. Individuals born in Asia, Africa, and other geographic regions with a 2 % or higher prevalence of chronic HBV infection 5. Infants born to HBV infected mothers 6. Individuals with chronically elevated amino alanine transferase See more on aetna
Tumor Markers - Medical Clinical Policy Bulletins | Aetna
Number: 0352. Policy. Aetna considers any of the following serum tumor markers for the stated indication medically necessary: Prostate-specific antigen (PSA) for prostate cancer screening (see CPB 0521 - Prostate Cancer Screening), staging, monitoring response to therapy, and detecting disease recurrence ; Carcinoembryonic antigen (CEA) for any off the following:

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