Pectus Excavatum and Poland's Syndrome: Surgical Co… | Aetna

Pectus Excavatum and Poland's Syndrome: Surgical Correction

Aetna · PayerPolicy · AETNA-CPB-0272

Status: Active
Effective: April 27, 2023
Last reviewed by Aetna: April 17, 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
11960	CPT	Covered
11970	CPT	Covered
11971	CPT	Covered
21740	CPT	Covered
21742	CPT	Covered
21743	CPT	Covered
J98.4	ICD10CM	Covered
Q67.6	ICD10CM	Covered
Q67.7	ICD10CM	Covered
Q79.8	ICD10CM	Covered
R94.2	ICD10CM	Covered