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Medical Clinical Policy Bulletins - Aetna

    https://www.aetna.com/health-care-professionals/clinical-policy-bulletins/medical-clinical-policy-bulletins.html
    Aetna has reached these conclusions based upon a review of currently available clinical information (including clinical outcome studies in the peer-reviewed published medical …

Obstructive Sleep Apnea in Adults - Medical Clinical …

    https://www.aetna.com/cpb/medical/data/1_99/0004.html
    Aetna considers tracheostomy medically necessary for those members with the most severe OSA not manageable by other interventions. Requests for tracheostomy for OSA …

Allergy and Hypersensitivity - Medical Clinical Policy …

    https://www.aetna.com/cpb/medical/data/1_99/0038.html

    Tumor Markers - Medical Clinical Policy Bulletins | Aetna

      https://www.aetna.com/cpb/medical/data/300_399/0352.html
      BRAF V600 mutation for indeterminate thyroid nodules, hairy cell leukemia; gastrointestinal stromal tumors; colorectal cancer, Lynch syndrome; non-small cell lung cancer; thyroid …

    Polymerase Chain Reaction Testing: Selected …

      https://www.aetna.com/cpb/medical/data/600_699/0650.html
      CPT codes not covered for indications listed in the CPB: 81291: MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, …

    Colorectal Cancer Screening - Medical Clinical Policy …

      https://www.aetna.com/cpb/medical/data/500_599/0516.html
      Aetna considers capsule endoscopy experimental and investigational for colorectal cancer screening because the effectiveness of this approach has not been established (see also …

    Breast and Ovarian Cancer Susceptibility Gene Testing, …

      https://es.aetna.com/cpb/medical/data/200_299/0227.html
      The genetic test is denied by the non-member's insurance carrier as not medically necessary, and the medical information provided to Aetna does not make clear why …

    Spinal Cord Stimulation - Medical Clinical Policy Bulletins …

      https://es.aetna.com/cpb/medical/data/100_199/0194.html
      Aetna considers dorsal root ganglion stimulators (e.g., Axium Neurostimulator System) medically necessary for moderate to severe chronic intractable pain of the lower limbs in …



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