Aetna Medical Policy Updates – October 2018

Click here to view the Aetna Medical Policy Updates »

October 2018 Aetna Medical Policy Updates:

• Actigraphy and Accelerometry
• Ambulatory Assist Devices: Walkers, Canes, and Crutches
• Analysis of Volatile Organic Compounds
• Androgens and Anabolic Steroids
• Antiemetic Injection Therapy
• Atezolizumab (Tecentriq)
• Axicabtagene Ciloleucel (Yescarta) – Medical Clinical Policy Bulletins | Aetna
• Back Pain – Invasive Procedures
• Balloon-Expandable Venous Stents
• Bevacizumab (Avastin) for Non-Ocular Indications
• Botulinum Toxin
• Bowel Management Devices
• Breast Ductal Lavage and Fiberoptic Ductoscopy
• Cardiac Rehabilitation
• Cardiovascular Disease Risk Tests
• Cardiovascular Monitoring Equipment for Home Use: Pulse, Blood Pressure, Telemonitors, and Pacemaker Monitors
• Car-Ride Simulators for Infantile Colic
• Cetuximab (Erbitux)
• Contact Dissolution for Gallstones
• Defecography
• Diabetes Tests, Programs and Supplies
• Distraction Osteogenesis for Craniofacial Defects
• Electrical Stimulation for Chronic Ulcers
• Electrothermal Arthroscopy
• Endothelial Cell Photography
• Erythropoiesis Stimulating Agents
• Foot Orthotics
• Gemtuzumab Ozogamicin (Mylotarg) – Medical Clinical Policy Bulletins | Aetna
• Genetic Testing
• Golimumab (Simponi and Simponi Aria)
• Headaches: Invasive Procedures
• Heating Devices
• Hematopoietic Cell Transplantation for Breast Cancer
• Hematopoietic Cell Transplantation for Hodgkin’s Disease
• Hematopoietic Cell Transplantation for Multiple Myeloma
• HIV Testing
• Hospital Beds and Accessories
• Immune Globulins for Post-exposure Prophylaxis
• Infertility
• Insulin-Like Growth Factor-1 (IGF-1) Analogues: Mecasermin (Increlex) and Mecasermin Rinfabate (Iplex)
• Intragastric Hypothermia
• Intraoperative Electromyographic Monitoring
• Intravascular Ultrasound
• Lead Testing
• Levoleucovorin (Fusilev)
• Meniere’s Disease Surgery
• Metatarsal Phalangeal Joint Replacement
• Microwave Thermotherapy
• Noninvasive Tests for Hepatic Fibrosis
• Obstructive Sleep Apnea in Adults
• Oral and Esophageal Brush Biopsy
• Orthopedic Casts, Braces and Splints
• Oxaliplatin (Eloxatin)
• Paranasal Sinus Ultrasound for the Evaluation of Sinusitis
• Pemetrexed (Alimta)
• Post-Herpetic Neuralgia
• Screening for Lipid Disorders
• Scrotal Ultrasonography
• Sialolithiasis (Salivary Stones)
• Somatostatin Analogs
• Suction Pumps
• Thyrogen (Thyrotropin Alfa)
• Transabdominal Cerclage
• Transvaginal Ultrasonography
• Tumor Markers
• Tumor Scintigraphy
• Urological Supplies
• Vascular Endothelial Growth Factor Inhibitors for Ocular Indications
• Virtual Gastrointestinal Endoscopy
• Vitamin B-12 Therapy

Added 10/29/2018;

• Anterior Segment Scanning Computerized Ophthalmic Diagnostic Imaging
• Back Pain – Invasive Procedures
• Barrett’s Esophagus
• Bell’s Palsy
• Botulinum Toxin
• BRCA Testing, Prophylactic Mastectomy, and Prophylactic Oophorectomy
• Cataract Removal Surgery
• Clotting Factors
• Core Decompression for Avascular Necrosis
• Diabetes Tests, Programs and Supplies
• Diabetic Neuropathy: Selected Treatments
• Double Balloon Enteroscopy
• Erythropoiesis Stimulating Agents
• Evoked Potential Studies
• External Ocular Photography
• Femoro-Acetabular Surgery for Hip Impingement Syndrome
• Functional Magnetic Resonance Imaging
• Genetic Testing
• Growth Hormone (GH) and Growth Hormone Antagonists
• Guillain-Barre Syndrome Treatments
• Hematopoietic Colony-Stimulating Factors (CSFs)
• Ibandronate Sodium (Boniva) Injection
• Infertility
• Infliximab – Medical Clinical Policy Bulletins | Aetna
• Influenza Vaccine
• Interferons
• Lung Volume Reduction Surgery
• Multiple Sclerosis
• Obstructive Sleep Apnea in Adults
• Obstructive Sleep Apnea in Children
• Ornish Cardiac Rehabilitation Program
• Panitumumab (Vectibix)
• Parenteral Immunoglobulins
• Polymerase Chain Reaction Testing: Selected Indications
• Positron Emission Tomography (PET)
• Pulsed Radiofrequency
• Serum and Urine Marker Screening for Down Syndrome
• Spinal Surgery: Laminectomy and Fusion
• Tumor Markers
• Varicose Veins
• Viscosupplementation

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.

Policy Alerts continuously monitors Commercial and Medicare Payer coverage information to keep you up-to-date on medical Insurance decisions in real-time. When changes occur, instant email alerts are delivered to your inbox. Clients have access to detailed coverage reports and medical policies through the interactive Policy Alerts Dashboard portal. Save time each month and keep focused on important Payer medical policy reviews and coverage decisions affecting your business!

Policy Alerts takes a client-focused hands-on approach and is constantly working to provide our customers with helpful insights and actionable analytics. We understand what our clients need and are dedicated to providing timely, accurate, and always up-to-date reports.

Health economic and reimbursement information provided by Policy Alerts is gathered from third-party sources and is subject to change without notice as a result of complex and frequently changing laws, regulations, rules and policies. All product and company names are trademarks™ or registered® trademarks of their respective holders. Use of them does not imply any affiliation with or endorsement by them. This information is presented for illustrative purposes only and does not constitute reimbursement or legal advice.