1. Medical Clinical Policy Bulletins
Medical Clinical Policy Bulletins
Explore the medical clinical policy bulletins that Aetna uses to decide which services and procedures we will cover.
2. Aetna Clinical Policy Bulletins
Medical · Formularies & Pharmacy... · Provider manuals
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3. Clinical Policy Bulletins Alphabetical List - Aetna
Safety Items- CPB-0623 · Salivary Hormone Tests- CPB-0608 · Scalp Cooling (Hypothermia) to Prevent Hair Loss During Chemotherapy- CPB-0290 · Screening for Lipid ...
4. Clinical Policy Bulletins Numerical List - Aetna
0251-Dermabrasion, Chemical Peels, and Acne Surgery · 0253-Injections for Vocal Cord Paralysis · 0255-Inpatient Admission Prior to Surgery (Preop Days) · 0256- ...
5. Clinical Guidelines and Policy Bulletins | Aetna Medicaid California
Clinical practice guidelines summarize evidence-based management and treatment options for specific diseases or conditions.
6. [PDF] Provider manual - Aetna
*FOR ENTRY REQUIREMENTS: This is assessed for Medical Record Keeping Practices based on guidelines from the ... Criteria — Clinical Policy Bulletins (based on ...
7. Clinical Guidelines & Policy Bulletins | Aetna Medicaid [STATE NAME]
Clinical practice guidelines summarize evidence-based management and treatment options for specific diseases or conditions.
8. Clinical Policy Bulletin (CPB) FAQs for Health Care Providers - Aetna
The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and ...
Health care providers - get answers to the most frequently asked questions about Clinical Policy Bulletins (CPBs) from Aetna.
9. Cosmetic Surgery and Procedures - Medical Clinical Policy Bulletins
Abdominoplasty, Suction... · Gender Affirming Surgery · Breast Reduction Surgery
Number: 0031
10. Physical Therapy - Medical Clinical Policy Bulletins - Aetna
Home-based physical therapy is considered medically necessary in selected cases based upon the member's needs (i.e., the member must be homebound). This may be ...
Number: 0325
11. Injectable Medications - Clinical Policy Bulletins - Aetna
Aetna covers injectable medications when an appropriate oral alternative drug does not exist. This coverage includes those medications intended to be self- ...
Number: 0020
12. Genetic Testing - Medical Clinical Policy Bulletins - Aetna
Aetna considers genetic testing of PTPN11, SOS1, or KRAS genes medically necessary for the diagnosis of Noonan syndrome in persons with characteristic features ...
Number: 0140
13. Aetna Resources | EviCore by Evernorth
Effective December 1, 2021, Aetna® will add a Site of Care medical necessity requirement to the Enhanced Clinical Review program for fully insured commercial ...
eviCore healthcare is pleased to announce its continued partnership with Aetna to provide authorization services for Managed Medicare Advantage and Commercial members.
