Erythropoiesis Stimulating Agents | Aetna | Backwork

Erythropoiesis Stimulating Agents

Aetna · PayerPolicy · AETNA-CPB-0195

Status: Active
Effective: January 9, 2024
Last reviewed by Aetna: January 20, 2026
Last checked by Backwork: October 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
38204	CPT	Covered
38232	CPT	Covered
38240	CPT	Covered
38243	CPT	Covered
J0881	HCPCS	Covered
J0882	HCPCS	Covered
J0885	HCPCS	Covered
J0887	HCPCS	Covered
J0888	HCPCS	Covered
J0890	HCPCS	Covered
S9537	HCPCS	Covered
B12	ICD10CM	Covered