Aetna · PayerPolicy · AETNA-CPB-0608
Summary of the payer’s published policy. Not a coverage determination — confirm with Aetna before submitting.
Free account. Policy pages stay open to everyone.
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.
| Code | Code system | Status in this policy |
|---|---|---|
| 82530 | CPT | Covered |
| 82533 | CPT | Covered |
| 82570 | CPT | Covered |
| 82626 | CPT | Covered |
| 82627 | CPT | Covered |
| 82670 | CPT | Covered |
| 82671 | CPT | Covered |
| 82672 | CPT | Covered |
| 82677 | CPT | Covered |
| 82679 | CPT | Covered |
| 83516 | CPT | Covered |
| 83520 | CPT | Covered |
| 83529 | CPT | Covered |
| 83615 | CPT | Covered |
| 83937 | CPT | Covered |
| 84144 | CPT | Covered |
| 84402 | CPT | Covered |
| 84403 | CPT | Covered |
| 84436 | CPT | Covered |
| 84437 | CPT | Covered |
| 84439 | CPT | Covered |
| 84443 | CPT | Covered |
| 84479 | CPT | Covered |
| 84480 | CPT | Covered |
| 84481 | CPT | Covered |
| 86316 | CPT | Covered |
| 88341 | CPT | Covered |
| 88342 | CPT | Covered |
| 88344 | CPT | Covered |
| S3650 | HCPCS | Covered |
| C00.0 | ICD10CM | Covered |
| C10.9 | ICD10CM | Covered |
| C44.02 | ICD10CM | Covered |
| C76.0 | ICD10CM | Covered |
| E24.0 | ICD10CM | Covered |
| E24.9 | ICD10CM | Covered |
| E27.0 | ICD10CM | Covered |
| E27.9 | ICD10CM | Covered |
| E28.310 | ICD10CM | Covered |
| E28.319 | ICD10CM | Covered |
| E89.40 | ICD10CM | Covered |
| E89.41 | ICD10CM | Covered |
| E89.6 | ICD10CM | Covered |
| F30.10 | ICD10CM | Covered |
| F30.9 | ICD10CM | Covered |
| F31.0 | ICD10CM | Covered |
| F31.9 | ICD10CM | Covered |
| F32.0 | ICD10CM | Covered |
| F32.9 | ICD10CM | Covered |
| F33.3 | ICD10CM | Covered |
| F34.1 | ICD10CM | Covered |
| F50.00 | ICD10CM | Covered |
| F50.02 | ICD10CM | Covered |
| F50.2 | ICD10CM | Covered |
| F50.9 | ICD10CM | Covered |
| J12.81 | ICD10CM | Covered |
| J12.82 | ICD10CM | Covered |
| K05.00 | ICD10CM | Covered |
| K05.6 | ICD10CM | Covered |
| K13.21 | ICD10CM | Covered |
| K13.29 | ICD10CM | Covered |
| K21.9 | ICD10CM | Covered |
| K72.00 | ICD10CM | Covered |
| K72.91 | ICD10CM | Covered |
| K90.0 | ICD10CM | Covered |
| L43.0 | ICD10CM | Covered |
| L43.9 | ICD10CM | Covered |
| M35.00 | ICD10CM | Covered |
| M35.09 | ICD10CM | Covered |
| M80. | ICD10CM | Covered |
| M81.8 | ICD10CM | Covered |
| N19 | ICD10CM | Covered |
| N92.4 | ICD10CM | Covered |
| N95.0 | ICD10CM | Covered |
| N95.9 | ICD10CM | Covered |
| P07.00 | ICD10CM | Covered |
| P07.39 | ICD10CM | Covered |
| R00.0 | ICD10CM | Covered |
| S06. | ICD10CM | Covered |
| S100P | ICD10CM | Covered |
| Z01.20 | ICD10CM | Covered |
| Z01.21 | ICD10CM | Covered |
| Z12.0 | ICD10CM | Covered |
| Z12.9 | ICD10CM | Covered |
| Z13.810 | ICD10CM | Covered |
| Z13.818 | ICD10CM | Covered |
| Z13.820 | ICD10CM | Covered |
| Z13.84 | ICD10CM | Covered |
| Z13.850 | ICD10CM | Covered |
| Z13.858 | ICD10CM | Covered |
| Z78.0 | ICD10CM | Covered |
| Z79.890 | ICD10CM | Covered |