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Aetna Medical Policy Updates – August 2018
Click here to view the Aetna Medical Policy Updates »
August 2018 Aetna Medical Policy Updates:
- Acoustic Pharyngometers and SNAP Testing System
- Antibody Tests for Neurologic Diseases
- Back Pain – Invasive Procedures
- Bone Growth Stimulators
- Botulinum Toxin
- Breast Reconstructive Surgery
- Breast Transillumination, Electrical Impedance Scanning (EIS), and Elastography
- BreastCare/BreastAlert Differential Temperature Sensor
- Cardiac CT, Coronary CT Angiography and Calcium Scoring
- Clinical Trials, Coverage of Routine Patient Care Costs
- Coumadin (Warfarin) to Heparin Conversion Before and After Elective Surgery
- Cryoanalgesia and Therapeutic Cold
- Dexamethasone Suppression Test for Diagnosing Depression
- Epilepsy Surgery
- Ethanol Injection for Thyroid Lesions
- Fibroid Treatment
- Genetic Counseling
- Grid Monitoring and Intraoperative Electroencephalography
- Hair Analysis
- High-Frequency Pulsed Electromagnetic Stimulation
- Hippotherapy
- HIV Drug Susceptibility and Resistance Tests
- Home Births
- Home Cholesterol Monitors
- Hyperthermia in Cancer Therapy
- Indications, Dosages and Administration of FDA-Approved Drugs
- Inflammatory Bowel Disease: Serologic Markers and Pharmacogenomic and Metabolic Assessment of Thiopurine Therapy
- Intestinal Rehabilitation Programs
- Lung Volume Reduction Surgery
- Magnetic Resonance Neurography – Medical Clinical Policy Bulletins | Aetna
- Manipulation Under General Anesthesia
- Melodic Intonation Therapy
- Metabolic and Environmental Profiling and Imaging for Kidney Stone Risk
- Multiple Sleep Latency Test (MSLT) and Maintenance of Wakefulness Test (MWT)
- Nivolumab (Opdivo)
- Noninvasive Down Syndrome Screening
- Non-invasive Negative Pressure Ventilation: Body Ventilators and Poncho Wrap
- Obstetrical Hypertension Programs
- Outpatient Medical Self-Care Programs
- Pharmacogenetic and Pharmacodynamic Testing
- Physical Therapy
- Preconceptional Sex Selection Techniques
- Prothrombin Time (INR) Home Testing Devices
- RET Proto-Oncogene Testing
- Scalp Cooling (Hypothermia) to Prevent Hair Loss During Chemotherapy
- Skilled Home Health Care Nursing Services
- Smell and Taste Disorders: Diagnosis – Medical Clinical Policy Bulletins | Aetna
- Stem Cells for Hematopoietic Cell Transplant
- Synagis (Palivizumab)
- Thoracoscopic Sympathectomy
- Total Body Photography and Dermoscopy
- Total Hip Replacement
- Transmyocardial and Endovascular Laser Revascularization
- Tumor Markers
- Ultra Rapid Detoxification (UROD)
- Ventricular Remodeling Operation (Batista Procedure) and Surgical Ventricular Restoration (Dor Procedure)
- Vertebral Axial Decompression
- Videostroboscopy
- Visual Perceptual Training and Vision Restoration Therapy
- Work Hardening Programs
Added 8/24/2018;
- Ambulatory Electroencephalography
- Anakinra (Kineret)
- Ankle Orthoses, Ankle-Foot Orthoses (AFOs), and Knee-Ankle-Foot Orthoses (KAFOs)
- Back Pain – Invasive Procedures
- Bathroom and Toilet Equipment and Supplies – Medical Clinical Policy Bulletins | Aetna
- Biochemical Markers of Bone Remodeling – Medical Clinical Policy Bulletins | Aetna
- Bio-Surgery: Medicinal Leech Therapy and Medical Maggots
- Bone and Tendon Graft Substitutes and Adjuncts
- Bone-Anchored Hearing Aids – Medical Clinical Policy Bulletins | Aetna
- Breast Pumps
- Cancer Vaccines
- Capsule Endoscopy
- Carbogen Inhalation Therapy
- Celiac Disease Laboratory Testing
- Clotting Factors
- Continuous Passive Motion (CPM) Machines
- Cranial Remodeling
- Crit-Line In-Line Monitor – Medical Clinical Policy Bulletins | Aetna
- Daratumumab (Darzalex)
- Dendritic Cell Immunotherapy – Medical Clinical Policy Bulletins | Aetna
- Denosumab (Prolia and Xgeva)
- Dialysis
- Eating Disorders
- Endolymphatic Hydrops (Meniere’s Disease) Tests – Medical Clinical Policy Bulletins | Aetna
- Ernest or Eagle’s Syndrome (Stylomandibular Ligament Pain): Treatment with Radiofrequency Thermoneurolysis
- Exhaled Breath Tests
- Eye Movement Desensitization and Reprocessing (EMDR) Therapy
- Female Sexual Dysfunction (FSD)
- Fibroid Treatment
- Flow Cytometry, DNA Ploidy, and S-phase Fraction
- Fundus Photography
- Hepatitis B Vaccine
- Hyperbaric Oxygen Therapy (HBOT)
- Implantable Hormone Pellets
- Indocyanine Green Angiography
- Infliximab – Medical Clinical Policy Bulletins | Aetna
- Influenza Vaccine
- Intravenous Iron Therapy
- Invasive Prenatal Diagnosis of Genetic Diseases
- Knee Ligament Arthrometer Testing – Medical Clinical Policy Bulletins | Aetna
- Laminoplasty
- Laser Neurolysis
- Macular/Foveal Translocation – Medical Clinical Policy Bulletins | Aetna
- Magnetic Resonance Cholangiopancreatography
- Magnetic Resonance Imaging of the Cardiovascular System – Cardiac MRI
- Mechanical Stretching Devices for Contracture and Joint Stiffness – Medical Clinical Policy Bulletins | Aetna
- Meningococcal Vaccine
- Myringotomy and Tympanostomy Tube
- Nasolacrimal Duct Obstruction: Treatments
- Nerve Grafting: Selected Indications
- NeuroControl Freehand System
- Nitric Oxide, Inhalational (INO)
- Obinutuzumab (Gazyva)
- Optic Nerve Decompression Surgery
- Pancreaticoduodenectomy (Whipple Resection)
- Paralytic Lagophthalmos Treatments
- Peripheral Vascular Rehabilitation Programs – Medical Clinical Policy Bulletins | Aetna
- Phototherapy for Psychiatric Disorders
- Polio Vaccine
- Polymerase Chain Reaction Testing: Selected Indications
- Premenstrual Syndrome and Premenstrual Dysphoric Disorder
- Pressure Reducing Support Surfaces – Medical Clinical Policy Bulletins | Aetna
- Prostate Cancer Screening
- Pulsed Dye Laser Treatment – Medical Clinical Policy Bulletins | Aetna
- Radiation Treatment for Selected Nononcologic Indications
- Rosacea
- Selected Aortic Valve Procedures: Ross Pulmonary Autograft and Aortic Valve-Sparing Re-implantation – Medical Clinical Policy Bulletins | Aetna
- Selective Nerve Root Blocks
- Selective Peripheral Denervation (Bertrand Procedure) for Spasmodic Torticollis – Medical Clinical Policy Bulletins | Aetna
- Speech Generating Devices – Medical Clinical Policy Bulletins | Aetna
- Surgical Dressings (Wound Care Supplies) – Medical Clinical Policy Bulletins | Aetna
- Therapeutic Chairs – Medical Clinical Policy Bulletins | Aetna
- Titanium Rib
- Tocilizumab (Actemra)
- Tofacitinib (Xeljanz)
- Transcervical Balloon Tuboplasty
- Transcranial Doppler Ultrasonography
- T-Wave Alternans
- Vesicoureteral Reflux Treatment by Endoscopic Injection of Bulking Agents
- Visudyne (Verteporfin) Photodynamic Therapy
- Vitrectomy – Medical Clinical Policy Bulletins | Aetna
- Voice Prosthesis for Voice Rehabilitation Following Total Laryngectomy
- Zoledronic Acid
Added 8/30/2018;
- Allograft Transplants of the Extremities
- Anesthetic and Antiemetic Infusion Pumps
- Angioplasty and Stenting of Extra-Cranial and Intra-Cranial Arteries
- Anthrax Vaccine/Treatment
- Autologous Skeletal Myoblast/Mononuclear Bone Marrow Cell Transplantation
- Back Pain – Invasive Procedures
- Balloon Valvuloplasty
- BRCA Testing, Prophylactic Mastectomy, and Prophylactic Oophorectomy
- Cervical Traction Devices
- Clotting Factors
- Compression Garments for the Legs
- Early Intervention Programs – Medical Clinical Policy Bulletins | Aetna
- Electroconvulsive Therapy
- Erythropoiesis Stimulating Agents
- Fluidized Therapy (Fluidotherapy) – Medical Clinical Policy Bulletins | Aetna
- Heart Transplantation
- Hematopoietic Cell Transplantation for Non-Hodgkin’s Lymphoma
- Hematopoietic Colony-Stimulating Factors (CSFs)
- Influenza Rapid Diagnostic Tests
- Infrared Therapy
- Liver Transplantation
- Magnesium Sulfate/Terbutaline Pump for Preterm Labor
- Noninvasive Positive Pressure Ventilation
- Pelvic Congestion Syndrome: Treatments
- Pillows and Cushions – Medical Clinical Policy Bulletins | Aetna
- Pulmonary Hypertension Treatments and Selected Indications of Prostanoids
- Salivary Tests
- Seat Lifts and Patient Lifts
- Single Photon Emission Computed Tomography (SPECT)
- Tables and Boards
- Thermal Intradiscal Procedures
- Thoracic Electrical Bioimpedance for Cardiac Output Monitoring
- Transpupillary Thermal Therapy
- Tuberculosis Testing
- Ultrasound for Pregnancy
- Vision Therapy
- Growth Hormone (GH) and Growth Hormone Antagonists
Click here to view the Aetna Medical Policy Updates »
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