Aetna.Com Cpb Medical Data

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 are …

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, …

Nutritional Counseling - Medical Clinical Policy Bulletins

https://www.aetna.com/cpb/medical/data/1_99/0049.html

Aetna considers nutritional counseling a medically necessary preventive service for children and adults who are obese, and for adults who are overweight and have other …

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 …

Prescription Digital Therapeutics - Medical Clinical Policy …

https://es.aetna.com/cpb/medical/data/900_999/0999.html

Aetna considers the following prescription digital therapeutics (PDTs) experimental and investigational because there is insufficient evidence in the published peer-reviewed …