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Aetna Medical Policy Updates – November 2024
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November 2024 Aetna Medical Policy Updates:
- Abatacept (Orencia)
- Acute Ischemic Stroke Treatments
- ADAMTS13 Assay for Thrombotic Thrombocytopenic Purpura (TTP)
- Afamelanotide (Scenesse)
- Age-Related Macular Degeneration
- Alzheimer’s Disease: Experimental Treatments
- Antepartum Fetal Surveillance
- Anterior Segment Scanning Computerized Ophthalmic Diagnostic Imaging
- Athletic Pubalgia Surgery
- Axial Lumbar Interbody Fusion (AxiaLIF)
- Barrett’s Esophagus
- Blinatumomab (Blincyto)
- Blood and Adipose Product Injections for Selected Indications
- Botulinum Toxin
- Brachial Plexus Surgery
- Brexanolone (Zulresso)
- Bronchial Thermoplasty
- Buprenorphine Implant (Probuphine) and Extended-Release Injectable (Sublocade)
- Calaspargase pegol (Asparlas)
- Caplacizumab-yhdp (Cablivi)
- Cardiopulmonary Exercise Testing
- Chlamydia Trachomatis – Screening and Diagnosis
- Comparative Genomic Hybridization (CGH)
- Complementary and Alternative Medicine
- Computerized Motion Diagnostic Imaging
- Computerized Wheeze Detectors
- Core Decompression for Avascular Necrosis
- Devices for Post-Operative Use Following Endoscopic Sinus Surgery
- Distal Interphalangeal (DIP), Metacarpophalangeal (MCP) and Proximal Interphalangeal (PIP) Joint Implants
- Edaravone (Radicava)
- Efgartigimod Alfa-fcab (Vyvgart)
- Electromagnetic Navigation-Guided Bronchoscopy
- Electroretinography
- Emapalumab-lzsg (Gamifant)
- Endometrial Cancer Screening and Diagnosis
- Epiretinal Radiation Therapy
- Eptinezumab-jjmr (Vyepti)
- Esophageal Doppler Monitoring
- Exagamglogene Autotemcel (Casgevy) – CPB 1052
- Extended Ophthalmoscopy
- External Ocular Photography
- Face Transplantation
- Fecal Bacteriotherapy
- Functional Magnetic Resonance Imaging
- Glaucoma Surgery
- Golimumab (Simponi and Simponi Aria)
- Gout
- Hand Transplantation
- Hematopoietic Cell Transplantation for Myelodysplastic Syndrome
- Hematopoietic Cell Transplantation for Myelofibrosis
- Hematopoietic Cell Transplantation for Ovarian Cancer
- Hematopoietic Cell Transplantation for Primary Immunodeficiency Disorders
- Hematopoietic Cell Transplantation for Solid Tumors in Adults
- Hematopoietic Cell Transplantation for Waldenstrom Macroglobulinemia
- Hereditary Angioedema
- High Intensity Focused Ultrasound
- High-Resolution Anoscopy
- Home Hemoglobin Testing Devices
- Homocysteine Testing
- Hypoxic Ischemic Encephalopathy
- Ibritumomab Tiuxetan (Zevalin)
- In Vivo Analysis of Gastro-Intestinal and Urothelial Lesions
- Influenza Vaccine
- Infusion Pumps
- Internal Fixation of Rib Fracture
- Interstitial Laser Therapy
- Intra-coronary Hyperoxemic Therapy
- Irinotecan Liposome Injection (Onivyde)
- Irreversible Electroporation (NanoKnife)
- Kidney Transplantation
- Levoleucovorin (Fusilev and Khapzory)
- Liver Transplantation
- Lower Limb Prostheses
- Lung Volume Reduction Surgery
- Lurbinectedin (Zepzelca)
- Lymphangioma and Infantile Hemangioma
- Lymphedema
- Lysosomal Storage Disorder Treatments
- Management of Meibomian Glands
- Menaflex
- Mitomycin (Jelmyto)
- Naltrexone Implants
- Near-Infrared (NIR) Spectroscopy
- Nerve Blocks
- Nerve Fiber Density Measurement
- Nocturnal Enuresis Treatments
- Noninvasive Down Syndrome Screening
- Non-Invasive Fetal Membranes Rupture Tests
- Non-invasive Measurement of Advanced Glycation End-products in the Skin
- Novel Injection Methods
- Obinutuzumab (Gazyva)
- Ofatumumab (Arzerra)
- Panitumumab (Vectibix)
- Pediatric Intensive Feeding Programs
- Peripheral Vascular Stents
- Procalcitonin (PCT)
- Prosthetic Limb Vacuum Systems
- Pudendal Nerve Decompression
- Quantitative Pupillometry/Pupillography
- Remote Ischemic Conditioning
- Respiratory Syncytial Virus (RSV) Vaccine
- Retinopathy Telescreening Systems
- Robotic-assisted Rehabilitation of the Extremities
- Romiplostim (Nplate)
- Shoulder Arthroplasty and Arthrodesis
- Somatostatin Analogs
- Spinal Surgery: Laminectomy and Fusion
- Tafasitamab-cxix (Monjuvi)
- Transanal Endoscopic Microsurgery
- Transcatheter Aortic Valve Implantation
- Transcatheter Pulmonary Valve Implantation
- Transplant Immune Cell Function Assays
- Ultrasound for Pregnancy
- Ultrasound Therapy for Wound Healing
- Upper Gastrointestinal Endoscopy
- Vaccines for Travel
- Winged Scapula
- Wrist Arthroplasty
- Ziv-Aflibercept (Zaltrap)
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