Scalp Cooling (Hypothermia) to Prevent Hair Loss During Chemotherapy

Aetna · PayerPolicy · AETNA-CPB-0290

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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
96401	CPT	Covered
96450	CPT	Covered