Aetna Medical Policy Updates – August 2022

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August 2022 Aetna Medical Policy Updates:

• Abdominoplasty, Suction Lipectomy, and Ventral Hernia Repair
• Actinic Keratoses Treatments
• Aerosolized or Irrigated Anti-infectives for Sinusitis
• Anecortave Acetate (Retaane)
• Anesthetic and Antiemetic Infusion Pumps
• Ankle Orthoses, Ankle-Foot Orthoses (AFOs), and Knee-Ankle-Foot Orthoses (KAFOs)
• Autonomic Testing / Sudomotor Tests
• Belinostat (Beleodaq)
• Bendamustine
• Biochemical Markers of Bone Remodeling
• Biventricular Pacing (Cardiac Resynchronization Therapy)/Combination Resynchronization-Defibrillation Devices for Congestive Heart Failure
• Blood and Adipose Product Injections for Selected Indications
• Bone Mass Measurements
• BRCA Testing, Prophylactic Mastectomy, and Prophylactic Oophorectomy
• Breast Reduction Surgery and Gynecomastia Surgery
• Brentuximab (Adcetris)
• Capsule Endoscopy
• Cardiac CT, Coronary CT Angiography, Calcium Scoring and CT Fractional Flow Reserve
• Cardiovascular Disease Risk Tests
• Cardioverter-Defibrillators
• Celiac Disease Laboratory Testing
• Diabetic Neuropathy: Selected Treatments
• Drug Testing in Pain Management and Substance Use Disorder Treatment
• Dupuytren’s Contracture Treatments
• Eculizumab (Soliris)
• Edaravone (Radicava)
• Electrical Stimulation for Pain
• Electrocochleogram and Perilymphatic Pressure Measurement
• Erectile Dysfunction
• Extracorporeal Membrane Oxygenation (ECMO)
• Eye Movement Desensitization and Reprocessing (EMDR) Therapy
• Fecal Incontinence
• Female Sexual Dysfunction (FSD)
• Femoro-Acetabular Surgery for Hip Impingement Syndrome
• Gender Affirming Surgery
• Gene-Based Therapy for Duchenne Muscular Dystrophy (DMD)
• Genetic Testing
• Glaucoma Surgery
• Headaches: Invasive Procedures
• Hearing Aids
• Heart Transplantation
• Heart-Lung Transplantation
• Hematopoietic Cell Transplantation for Autoimmune Diseases and Miscellaneous Indications
• Home/Ambulatory Spirometry
• Huntington’s Disease
• Implantable Hormone Pellets
• Inebilizumab-cdon (Uplizna)
• Infertility
• Infliximab
• Infliximab [Medicare]
• Influenza Vaccine
• Infrared Therapy
• Inotuzumab Ozogamicin (Besponsa)
• Intensity Modulated Radiation Therapy
• Interferons
• Intervertebral Disc Prostheses
• Intestinal Transplantation
• Intradiscal Procedures
• Laser Photocoagulation of Drusen
• Laser Treatment for Psoriasis and Other Selected Skin Conditions
• Levoleucovorin (Fusilev and Khapzory)
• Liver Transplantation
• Low Vision Programs
• Lumbar Traction Devices
• Lung Imaging Fluorescence Endoscopy (LIFE)
• Lung Transplantation
• Noninvasive Positive Pressure Ventilation
• Nusinersen (Spinraza)
• Obstructive Sleep Apnea in Adults
• Omacetaxine (Synribo)
• Onasemnogene abeparvovec-xioi (Zolgensma)
• Pancreas Kidney Transplantation
• Pancreas Transplantation Alone (PTA) and Islet Cell Transplantation
• Pneumococcal Vaccine
• Pralatrexate (Folotyn)
• Pulmonary Hypertension Treatments and Selected Indications of Prostanoids
• Pulmonary Hypertension Treatments and Selected Indications of Prostanoids [Medicare]
• Pulsed Dye Laser Treatment
• Radiofrequency Ablation of Hypertrophied Nasal Turbinates
• Ravulizumab-cwvz (Ultomiris)
• Retinopathy Telescreening Systems
• Rituximab
• Rituximab [Medicare]
• Rosacea
• Salivary Tests
• Spinal Cord Stimulation
• Stereolithographic Models and Implants
• Strabismus Repair
• Titanium Rib
• Tocilizumab (Actemra)
• Tocilizumab (Actemra) [Medicare]
• Total-Body CT Screening
• Transcranial Magnetic Stimulation and Cranial Electrical Stimulation
• Tumor Markers
• T-Wave Alternans
• Ultrasound for Pregnancy
• Voice Prosthesis for Voice Rehabilitation Following Total Laryngectomy
• Ziv-Aflibercept (Zaltrap)

Click here to view the Aetna Medical Policy Updates »

Policy Alerts monitors Commercial and Medicare medical policies for changes. While medical Insurance carriers typically update medical policies annually, there are many reasons why they might review or update a policy. When reviews occur out of cycle they often go unnoticed. Policy Alerts keeps you updated when Payers make coverage changes to medical policies affecting your business.

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