Aetna Medical Policy Breast Reduction

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Breast Reduction Surgery and Gynecomastia Surgery

https://www.aetna.com/cpb/medical/data/1_99/0017.html

In the case of reduction mammoplasty for relief of back, neck and shoulder pain, Aetna has considered this procedure medically necessary in women with excessively large breasts because it seems logical, even in the absence of firm clinical trial evidence, that …

Cosmetic Surgery and Procedures - Medical Clinical …

https://www.aetna.com/cpb/medical/data/1_99/0031.html

Breast reduction. Considered medically necessary when criteria in CPB 0017 - Breast Reduction Surgery and Gynecomastia Surgery or CPB 0615 - Gender Affirming Surgery, …

0017 Breast Reduction Surgery and Gynecomastia …

https://www.aetnabetterhealth.com/pennsylvania/assets/pdf/pharmacy/pharmacy-bulletins/0017%20Breast%20Reduction%20Surgery%20and%20Gynecomastia%20Surgery.pdf

Breast Reduction Surgery and Gynecomastia Surgery - Medical Clinical Policy Bulletins | Aetna Page . 8 : of : 40 : criterion for allowing the procedure, with an …

Breast Reconstructive Surgery - Medical Clinical Policy …

https://www.aetna.com/cpb/medical/data/100_199/0185.html

Medically necessary procedures on the non-diseased/unaffected/contralateral breast to produce a symmetrical appearance may include areolar and nipple reconstruction, …

Medical Clinical Policy Bulletins - Aetna

https://www.aetna.com/health-care-professionals/clinical-policy-bulletins/medical-clinical-policy-bulletins.html

Attention reformatted CPBs A new format for 61 select CPBs will be implemented in 2022: This updated format includes a Table of Contents with links, a new Policy section format …

PCFX Breast Reduction and/or Reconstructive …

https://www.aetna.com/document-library/pharmacy-insurance/healthcare-professional/documents/breast-reduction-surgery-precert-form.pdf

Breast Reduction and/or Reconstructive Surgery Precertification Information Request Form . Applies to: Aetna plans . Innovation Health® plans . Health benefits and health …

Breast Implant Removal - Medical Clinical Policy …

https://www.aetna.com/cpb/medical/data/100_199/0142.html

Aetna considers autologous fat grafting (lipoaugmentation) following breast implant removal as cosmetic, where the implant was placed for cosmetic indications (i.e. not for …

How to Get Your Breast Reduction Covered …

https://www.realself.com/news/breast-reduction-insurance-coverage

A breast reduction shrinks more than just one’s cup size—it diminishes neck, back, and shoulder pain; abates rashes beneath the breasts; minimizes discomfort …

Breast Pumps - Medical Clinical Policy Bulletins | Aetna

https://www.aetna.com/cpb/medical/data/400_499/0421.html

Aetna considers purchase of a manual or standard electric breast pump medically necessary during pregnancy or at any time following delivery for breastfeeding. Aetna …

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