Hematopoietic Colony-Stimulating Factors (CSFs) | Aetna

Hematopoietic Colony-Stimulating Factors (CSFs)

Aetna · PayerPolicy · AETNA-CPB-0055

Status: Active
Effective: February 8, 2024
Last reviewed by Aetna: July 16, 2026
Last checked by Backwork: August 1, 2026

Summary of the payer’s published policy. Not a coverage determination — confirm with Aetna before submitting.

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Codes in this policy

Each code’s status is what the policy records for it. This page does not show the policy’s criteria. Read them in the payer’s source.

Codes this policy lists and each code’s status in the policy
Code	Code system	Status in this policy
B20	ICD10CM	Covered
D46.	ICD10CM	Covered
D61.	ICD10CM	Covered
D70.	ICD10CM	Covered
E74.01	ICD10CM	Covered
T66.	ICD10CM	Covered
Z52.	ICD10CM	Covered
Z94.	ICD10CM	Covered