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Aetna Medical Policy Updates – June 2021
Click here to view the Aetna Medical Policy Updates »
June 2021 Aetna Medical Policy Updates:
- Abatacept (Orencia)
- Abatacept (Orencia) [Medicare]
- Alzheimer’s Disease: Experimental Tests
- Azacitidine (Vidaza)
- Back Pain – Invasive Procedures
- Bone Growth Stimulators
- Botulinum Toxin [Medicare]
- Brentuximab (Adcetris)
- Decitabine (Dacogen)
- Gemtuzumab Ozogamicin (Mylotarg)
- Gene-Based Therapy for Duchenne Muscular Dystrophy (DMD)
- Gonadotropin-Releasing Hormone Analogs and Antagonists
- Growth Hormone (GH) and Growth Hormone Antagonists
- Hematopoietic Colony-Stimulating Factors (CSFs) [Medicare]
- Infliximab [Medicare]
- Intensive Cardiac Rehabilitation Programs
- Low-Molecular-Weight Heparins and Thrombin Inhibitors
- Natalizumab (Tysabri)
- Natalizumab (Tysabri) [Medicare]
- Optic Nerve and Retinal Imaging Methods
- Polymerase Chain Reaction Testing: Selected Indications
- Psoriasis and Psoriatic Arthritis: Targeted Immune Modulators
- Psoriasis and Psoriatic Arthritis: Targeted Immune Modulators [Medicare]
- Recurrent Pregnancy Loss
- Secukinumab (Cosentyx)
- Temozolomide (Temodar)
- Tilt Table Testing
- Transcranial Doppler Ultrasonography
- Ustekinumab (Stelara)
- Ustekinumab (Stelara) [Medicare]
- Vedolizumab (Entyvio)
- Vedolizumab (Entyvio) [Medicare]
- Vocal Cord Paralysis / Insufficiency Treatments
Updated 6/24/2021;
- Antepartum Fetal Surveillance
- Bathroom and Toilet Equipment and Supplies
- Belinostat (Beleodaq)
- Bortezomib (Velcade)
- Breast Transillumination, Electrical Impedance Scanning (EIS), and Elastography
- Cardiovascular Disease Risk Tests
- Carfilzomib (Kyprolis)
- Cemiplimab (Libtayo)
- Clotting Factors
- Cochlear Implants and Auditory Brainstem Implants
- Complementary and Alternative Medicine
- Cranial Remodeling
- Cryoanalgesia and Therapeutic Cold
- Ethanol Injection for Thyroid Lesions
- Gastrointestinal Manometry
- Hypertrophic Scars and Keloids
- Idiopathic Scoliosis
- Jaw Motion Rehabilitation Systems
- Lutetium Lu 177 Dotatate (Lutathera)
- Lysosomal Storage Disorder Treatments
- Magnetic Resonance Cholangiopancreatography
- Mechanical Stretching Devices for Contracture and Joint Stiffness
- Mohs Micrographic Surgery
- Negative Pressure Wound Therapy
- Photodynamic Therapy
- Rilonacept (Arcalyst)
- Romidepsin (Istodax)
- Serum and Urine Marker Screening for Fetal Aneuploidy
- Single Photon Emission Computed Tomography (SPECT)
- Spinal Surgery: Laminectomy and Fusion
- Tinnitus Treatments
- Trigeminal Neuralgia: Treatments
- Vascular Endothelial Growth Factor Inhibitors for Ocular Indications
- Vascular Endothelial Growth Factor Inhibitors for Ocular Indications [Medicare]
- Voice Therapy
Additional June Updates:
- Acupuncture
- Alopecia Areata
- Ambulatory Assist Devices: Walkers, Canes, and Crutches
- Amnioinfusion
- Anthrax Vaccine/Treatment
- Autonomic Testing / Sudomotor Tests
- Balloon Valvuloplasty
- Carbon Dioxide Laser for Actinic Lesions and Other Selected Indications
- Cardiac Event Monitors
- Cervical Cancer Screening and Diagnosis
- Clinical Trials, Coverage of Routine Patient Care Costs
- Clotting Factors
- Complex Regional Pain Syndrome (CRPS) / Reflex Sympathetic Dystrophy (RSD): Treatments
- Compression Garments for the Legs
- Contact Dissolution for Gallstones
- Coronary Artery Brachytherapy and Other Adjuncts to Coronary Interventions
- Endoscopic Ultrasonography
- Foot Orthotics
- Hematopoietic Cell Transplantation for Breast Cancer
- Hematopoietic Cell Transplantation for Hodgkin’s Disease
- Hematopoietic Cell Transplantation for Multiple Myeloma
- Hematopoietic Cell Transplantation for Non-Hodgkin’s Lymphoma
- Hematopoietic Cell Transplantation for Selected Childhood Solid Tumors
- Hematopoietic Colony-Stimulating Factors (CSFs)
- Hematopoietic Colony-Stimulating Factors (CSFs) [Medicare]
- Hyperhydrosis
- Influenza Rapid Diagnostic Tests
- Intermittent Pneumatic Compression Devices
- Luxturna (Voretigene Neparvovec-rzyl)
- Magnesium Sulfate Injections and Terbutaline Pump for Preterm Labor
- Nerve Grafting: Selected Indications
- Nocturnal Enuresis Treatments
- Ocriplasmin (Jetrea)
- Optic Nerve Decompression Surgery
- Paclitaxel, Albumin-Bound (Abraxane)
- Paclitaxel, Albumin-Bound (Abraxane) [Medicare]
- Pelvic Congestion Syndrome: Treatments
- Pembrolizumab (Keytruda)
- Pneumococcal Vaccine
- Radiofrequency Tumor Ablation
- Romiplostim (Nplate)
- Seat Lifts and Patient Lifts
- Serum and Urine Marker Screening for Fetal Aneuploidy
- Sinus Surgeries
- Skin and Soft Tissue Substitutes
- Suction Pumps
- Tables and Boards
- Total Body Plethysmography
- Tuberculosis Testing
- Verteporfin (Visudyne) Photodynamic Therapy
- Vestibular Autorotation Test (VAT)
- Viscocanalostomy and Canaloplasty
- Vitiligo
Click here to view the Aetna Medical Policy Updates »
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