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Aetna Medical Policy Updates – May 2019
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May 2019 Aetna Medical Policy Updates:
- Atezolizumab (Tecentriq)
- Autologous Chondrocyte Implantation
- Back Pain – Non Invasive Treatments
- Breast Reconstructive Surgery
- Bupivacaine Liposome (Exparel) – Medical Clinical Policy Bulletins | Aetna
- Burosumab-twza (Crysvita) – Medical Clinical Policy Bulletins | Aetna
- Caplacizumab-yhdp (Cablivi) – Medical Clinical Policy Bulletins | Aetna
- Capsule Endoscopy
- Cardiac Contractility Modulation (CCM) Therapy – Medical Clinical Policy Bulletins | Aetna
- Cardiac CT, Coronary CT Angiography and Calcium Scoring
- Cemiplimab (Libtayo) – Medical Clinical Policy Bulletins | Aetna
- Chelation Therapy
- Chiari Malformation Decompression Surgery – Medical Clinical Policy Bulletins | Aetna
- Chronic Vertigo
- Comparative Genomic Hybridization (CGH)
- Dermabrasion, Chemical Peels, and Acne Surgery
- Dorsal Column Stimulation
- Electroretinography
- Emapalumab-lzsg (Gamifant) – Medical Clinical Policy Bulletins | Aetna
- Epidural Patching – Medical Clinical Policy Bulletins | Aetna
- Erythropoiesis Stimulating Agents
- Evoked Potential Studies
- External Counterpulsation (ECP)
- Extracorporeal Photochemotherapy (Photopheresis)
- Fetal Fibronectin, Inflammatory Biomarkers, and Salivary Estriol Testing for Preterm Labor
- Fiberoptic Endoscopic Evaluation of Swallowing (FEES)/Fiberoptic Endoscopic Evaluation of Swallowing with Sensory Testing (FEESST)
- Gastroesophageal Reflux Disease (GERD): Treatment Devices
- Growth Hormone (GH) and Growth Hormone Antagonists
- Hepatitis A Vaccine
- Hereditary Transthyretin-Mediated (hATTR) Amyloidosis – Medical Clinical Policy Bulletins | Aetna
- Hippotherapy
- Hospitalization for the Initiation of Ketogenic Diet for the Treatment of Intractable Seizures
- Hyperbaric Oxygen Therapy (HBOT)
- Ibalizumab-uiyk (Trogarzo) – Medical Clinical Policy Bulletins | Aetna
- Inflammatory Bowel Disease: Serologic Markers and Pharmacogenomic and Metabolic Assessment of Thiopurine Therapy
- Infusion Pumps
- Iontophoresis
- Ketamine for the Treatment of Depression – Medical Clinical Policy Bulletins | Aetna
- Lutetium Lu 177 Dotatate (Lutathera) – Medical Clinical Policy Bulletins | Aetna
- Lyme Disease and other Tick-Borne Diseases
- Lysosomal Storage Disorders Treatments
- Magnetic Resonance Imaging (MRI) of the Extremities
- Magnetic Resonance Spectroscopy (MRS)
- Mifepristone (RU 486)
- Mogamulizumab-kpkc (Poteligeo) – Medical Clinical Policy Bulletins | Aetna
- Mometasone Furoate Sinus Implant (Sinuva) – Medical Clinical Policy Bulletins | Aetna
- Moxetumomab Pasudotox-tdfk (Lumoxiti) – Medical Clinical Policy Bulletins | Aetna
- Obesity Surgery
- Olaratumab (Lartruvo)
- Oprelvekin (Neumega)
- Panitumumab (Vectibix)
- Parenteral Immunoglobulins
- Pegvaliase-pqpz (Palynziq) – Medical Clinical Policy Bulletins | Aetna
- Phonophoresis
- Plantar Fasciitis Treatments
- Polymerase Chain Reaction Testing: Selected Indications
- Progestins
- Prolotherapy
- Prostate Cancer Screening
- Pulmonary Hypertension Treatments and Selected Indications of Prostanoids
- Quantitative EEG (Brain Mapping)
- Ravulizumab-cwvz (Ultomiris) – Medical Clinical Policy Bulletins | Aetna
- Ribavirin (Virazole)
- Sinus Surgeries – Medical Clinical Policy Bulletins | Aetna
- Speech Therapy
- Spinal Surgery: Laminectomy and Fusion
- Sufentanil Sublingual Tablet (Dsuvia) – Medical Clinical Policy Bulletins | Aetna
- Tagraxofusp-erzs (Elzonris) – Medical Clinical Policy Bulletins | Aetna
- Total Body Photography and Dermoscopy
- Transjugular Intrahepatic Portosystemic Shunt (TIPSS)
- Transmyocardial and Endovascular Laser Revascularization
- Trastuzumab (Herceptin), Ado-Trastuzumab (Kadcyla) and Pertuzumab (Perjeta)
- Tumor Scintigraphy
- Urinary Incontinence
- Vagus Nerve Stimulation
- Varicella and Herpes Zoster Vaccines
- Viscosupplementation
- Vitamin D Assay – Medical Clinical Policy Bulletins | Aetna
- Xolair (Omalizumab)
Click here to view the Aetna Medical Policy Updates »
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