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Aetna Medical Policy Updates – February 2024
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February 2024 Aetna Medical Policy Updates:
- Allergy and Hypersensitivity
- Alopecia Areata
- Antibody Tests for Neurologic Diseases
- Attention Deficit/Hyperactivity Disorder
- Bathroom and Toilet Equipment and Supplies
- Benign Prostatic Hyperplasia
- Bone and Tendon Graft Substitutes and Adjuncts
- Bone-Anchored Hearing Aids
- Bortezomib (Velcade)
- BRCA Testing, Prophylactic Mastectomy, and Prophylactic Oophorectomy
- Breast Pumps
- Brexanolone (Zulresso)
- Bupivacaine Liposome (Exparel)
- Calcitriol, Etelcalcetide, and Paricalcitol Injections
- Cardiac CT, Coronary CT Angiography, Calcium Scoring and CT Fractional Flow Reserve
- Cardiac Devices and Procedures for Occlusion of the Left Atrial Appendage
- Carfilzomib (Kyprolis)
- Cetuximab (Erbitux)
- Chelation Therapy
- Ciltacabtagene Autoleucel (Carvykti)
- Cochlear Implants and Auditory Brainstem Implants
- Cognitive Rehabilitation
- Cold Laser and High-Power Laser Therapies
- Coronary Artery Brachytherapy and Other Adjuncts to Coronary Interventions
- Cosmetic Surgery
- Daratumumab
- Denosumab (Prolia and Xgeva)
- Dostarlimab-gxly (Jemperli)
- Electrical Stimulation for Nausea, Vomiting and Motion Sickness (PrimaBella and ReliefBand) and Other Selected Indications
- Electrical Stimulation for Pain
- Elotuzumab (Empliciti)
- Endoscopic Ultrasonography
- Enfortumab vedotin-ejfv (Padcev)
- Erythropoiesis Stimulating Agents
- Esketamine (Spravato)
- Etanercept
- Fam-trastuzumab Deruxtecan-nxki (Enhertu)
- Fibroid Treatment
- Fluocinolone Acetonide Intra-vitreal Implant (Retisert, Yutiq and Iluvien)
- Foot Orthotics
- Fundus Photography
- Genetic Testing
- Golimumab (Simponi and Simponi Aria)
- Graves’ Ophthalmopathy Treatments
- Hematopoietic Colony-Stimulating Factors (CSFs)
- Human Fibrinogen Concentrate (RiaSTAP and Fibryga)
- Hyperthermia in Cancer Therapy
- Idecabtagene Vicleucel (Abecma)
- Idiopathic Scoliosis
- Infertility
- Infliximab
- Infusion Pumps
- Intravenous Iron Therapy
- Isatuximab-irfc (Sarclisa)
- Learning Disabilities, Dyslexia, and Vision
- Lower Limb Prostheses
- Lumasiran (Oxlumo)
- Lysosomal Storage Disorder Treatments
- Magnetic Resonance Cholangiopancreatography
- Meningococcal Vaccine
- Migraine and Cluster Headache: Nonsurgical Management
- Mirvetuximab Soravtansine-gynx (Elahere)
- Nadofaragene Firadenovec-vncg (Adstiladrin)
- Nerve Blocks
- Nerve Grafting: Selected Indications
- Noninvasive Positive Pressure Ventilation
- Novel Injection Methods
- Obesity Surgery
- Obstructive Sleep Apnea in Adults
- Osteoarthritis of the Knee: Selected Treatments
- Palivizumab (Synagis)
- Pancreas Transplantation Alone (PTA) and Islet Cell Transplantation
- Panitumumab (Vectibix)
- Parkinson’s Disease
- Phototherapy and Photochemotherapy (PUVA) for Skin Conditions
- Plasminogen, Human-tvmh (Ryplazim)
- Plerixafor (Mozobil) Injection
- Polymerase Chain Reaction Testing: Selected Indications
- Positron Emission Tomography (PET)
- Radiofrequency Ablation of Hypertrophied Nasal Turbinates
- Radium Ra 223 Dichloride (Xofigo)
- Recurrent Pregnancy Loss
- Respiratory Syncytial Virus (RSV) Vaccine
- Romiplostim (Nplate)
- Romosozumab-aqqg (Evenity)
- Sacituzumab govitecan-hziy (Trodelvy)
- Secukinumab (Cosentyx)
- Skin and Soft Tissue Substitutes
- Spinal Surgery: Laminectomy and Fusion
- Stereotactic Radiosurgery
- Teclistamab-cqyv (Tecvayli)
- Temozolomide (Temodar)
- Tinnitus Treatments
- Tourette’s Syndrome
- Transcranial Magnetic Stimulation and Cranial Electrical Stimulation
- Trastuzumab (Herceptin and biosimilars), Trastuzumab and Hyaluronidase-oysk (Herceptin Hylecta)
- Trigeminal Neuralgia: Treatments
- Tuberculosis Testing
- Urinary Incontinence
- Urological Supplies
- Vaccines for Travel
- Vagus Nerve Stimulation
- Vitamin B-12 Therapy
- Vitiligo
- Zoledronic Acid
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