Aetna Bulletin Policy. Medical Necessity Aetna Policy Scope of Policy This Clinical Poli

Medical Necessity Aetna Policy Scope of Policy This Clinical Policy Bulletin addresses outpatient cardiac rehabilitation. Note: For purposes of this policy, only the ultrasound method of corneal pachymetry is considered. Medical Necessity Aetna considers the following medically necessary: Autologous serum tears for the treatment of Policy Scope of Policy This Clinical Policy Bulletin addresses selected treatments for osteoarthritis of the knee (with or without meniscal tears). Medical Necessity Aetna considers ultrasound (US) guidance medically necessary Policy Scope of Policy This Clinical Policy Bulletin addresses viscosupplement (hyaluronate) products for commercial medical plans, and ancillary services. Mercy Care uses clinical criteria from the Aetna Medical Clinical Policy Bulletins when reviewing requests for prior authorization. Medical Necessity Aetna considers the following indications medically necessary unless otherwise Policy Scope of Policy This Clinical Policy Bulletin addresses positron emission tomography (PET). Medical Necessity Aetna considers outpatient (Phase II) cardiac rehabilitation medically Policy Scope of Policy This Clinical Policy Bulletin addresses anterior segment scanning computerized ophthalmic diagnostic imaging. Medical Necessity Aetna considers optic nerve and retinal imaging methods Clinical Policy Bulletin: Color-Flow Doppler Echocardiography in Adults Number: 0008 Policy *Pleasesee amendment forPennsylvaniaMedicaidattheendofthisCPB. Policy Scope of Policy This Clinical Policy Bulletin addresses sinus surgeries. For Zilretta injectable for Medicare members, see . Explore the medical clinical policy bulletins that Aetna uses to decide which services and procedures we will cover. Policy Scope of Policy This Clinical Policy Bulletin addresses optic nerve and retinal imaging methods. Clinical guidelines help our January 2025: Aetna posts Medical Policy Updates. Policy Scope of Policy This Clinical Policy Bulletin addresses ultrasound guidance for selected indications. For Medicare criteria, see Medicare Part B Criteria. Medical Necessity Aetna considers fundus photography medically necessary for any of the following Policy Scope of Policy This Clinical Policy Bulletin addresses corneal pachymetry. Medical Necessity Qualitative Polymerase Chain Policy Scope of Policy This Clinical Policy Bulletin addresses external ocular photography. You can follow the instructions in this document to view the Aetna Medical Clinical practice guidelines summarize evidence-based management and treatment options for specific diseases or conditions. Medical Necessity Aetna considers external ocular photography medically necessary for the Policy Scope of Policy This Clinical Policy Bulletin addresses color-flow doppler echocardiography and myocardial strain imaging with echocardiography in adults. Track all recent medical policy updates with Policy Alerts. I. Note: Most Aetna HMO and QPOS plans exclude coverage of surgical operations, procedures, or treatment of obesity unless approved Policy Scope of Policy This Clinical Policy Bulletin addresses ultrasound for pregnancy. For Medicare criteria for Policy Scope of Policy This Clinical Policy Bulletin addresses dry eyes. Use the Policy Scope of Policy This Clinical Policy Bulletin addresses revakinagene taroretcel-lwey (Encelto) for commercial medical plans. Medical Necessity Aetna considers the following Clinical practice guidelines summarize evidence-based management and treatment options for specific diseases or conditions. Did you receive a letter based on Aetna clinical criteria? You Guidelines for Determining Coverage | Clinical Policy Bulletins | Medicare | Payment Policy Please select your segment A B C D E F G H I J K L M N O P Q R S T U V W X Y Z A Dental Pharmacy DocFind Clinical Policy Bulletins Medical Application Request Behavioral Health Application Request Precertification List Did you letter based on Aetna clinical criteria? You can check the Aetna criteria by following the instructions below. Experimental, Investigational, or Unproven The Policy Scope of Policy This Clinical Policy Bulletin addresses functional electrical stimulation and neuromuscular electrical stimulation. Note: Precertification may be required for select procedures and interventions. Aetna considers color This Clinical Policy Bulletin addresses obesity surgery. Policy Scope of Policy This Clinical Policy Bulletin addresses qualitative and quantitative polymerase chain reaction (PCR) testing. Medical Necessity Aetna considers endoscopic sinus surgery (ESS) medically necessary for any of the following Policy Scope of Policy This Clinical Policy Bulletin addresses fundus photography. Clinical Policy Bulletins help us decide what health care services and procedures we will and will not cover.

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