Www Aetna Com Cpb Medical Data

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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 …

Bone Mass Measurements - Medical Clinical Policy …

https://www.aetna.com/cpb/medical/data/100_199/0134.html

Aetna considers radiological computer-assisted prioritization / artificial intelligence (AI) software (e.g., HealthVCF) not medically necessary to aid in the identification of vertebral …

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: 87913: Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 …

Cardiovascular Monitoring Equipment for Home Use: …

https://www.aetna.com/cpb/medical/data/500_599/0548.html

HCPCS codes not covered for indications listed in the CPB: C1833: Monitor, cardiac, including intracardiac lead and all system components (implantable) C2624: Implantable …

Physical Therapy - Medical Clinical Policy Bulletins | Aetna

https://www.aetna.com/cpb/medical/data/300_399/0325.html

Their data were pooled with original treatment group data: ET (n = 66) and ET+MT (n = 65). The primary outcome was the WOMAC physical function (PF) subscale. Secondary …

Nonstandard Laboratory Test Panels - Medical Clinical …

https://www.aetna.com/cpb/medical/data/400_499/0499.html

Aetna considers laboratory test panels experimental and investigational if they include nonstandard tests that have no proven value. Laboratory test panels may also be …

Automated Ambulatory Blood Pressure Monitoring

https://www.aetna.com/cpb/medical/data/1_99/0025.html

For monitoring normal or borderline hypertensive blood pressure readings in the medical setting of members with documented evidence of end-organ damage (e.g., nephropathy, …

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 …

Clinical Policy Bulletin: Obstructive Sleep Apnea in …

https://www.aetnabetterhealth.com/pennsylvania/assets/pdf/provider/guidelines/medical/Medical/Obstructive%20Sleep%20Apnea%20in%20Adults.pdf

http://qawww.aetna.com/cpb/medical/data/1_99/0004_draft.html 02/18/2015 . Clinical Policy Bulletin: Obstructive Sleep Apnea in Adults . Revised February 2015. Number: …

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