Aetna · PayerPolicy · AETNA-CPB-0685
Summary of the payer’s published policy. Not a coverage determination — confirm with Aetna before submitting.
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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 |
|---|---|---|
| C08.0 | ICD10CM | Covered |
| C08.9 | ICD10CM | Covered |
| C15.3 | ICD10CM | Covered |
| C15.9 | ICD10CM | Covered |
| C16.0 | ICD10CM | Covered |
| C16.9 | ICD10CM | Covered |
| C17.0 | ICD10CM | Covered |
| C17.9 | ICD10CM | Covered |
| C18.0 | ICD10CM | Covered |
| C21.8 | ICD10CM | Covered |
| C22.0 | ICD10CM | Covered |
| C22.1 | ICD10CM | Covered |
| C23 | ICD10CM | Covered |
| C24.1 | ICD10CM | Covered |
| C25.0 | ICD10CM | Covered |
| C25.9 | ICD10CM | Covered |
| C30.0 | ICD10CM | Covered |
| C34.00 | ICD10CM | Covered |
| C34.92 | ICD10CM | Covered |
| C41.0 | ICD10CM | Covered |
| C41.9 | ICD10CM | Covered |
| C43.0 | ICD10CM | Covered |
| C43.9 | ICD10CM | Covered |
| C45.0 | ICD10CM | Covered |
| C45.1 | ICD10CM | Covered |
| C45.2 | ICD10CM | Covered |
| C45.7 | ICD10CM | Covered |
| C46.0 | ICD10CM | Covered |
| C46.9 | ICD10CM | Covered |
| C48.0 | ICD10CM | Covered |
| C48.8 | ICD10CM | Covered |
| C49. | ICD10CM | Covered |
| C49.0 | ICD10CM | Covered |
| C49.9 | ICD10CM | Covered |
| C50.011 | ICD10CM | Covered |
| C50.929 | ICD10CM | Covered |
| C51.0 | ICD10CM | Covered |
| C51.9 | ICD10CM | Covered |
| C52 | ICD10CM | Covered |
| C53.0 | ICD10CM | Covered |
| C53.9 | ICD10CM | Covered |
| C54. | ICD10CM | Covered |
| C55 | ICD10CM | Covered |
| C56.1 | ICD10CM | Covered |
| C56.9 | ICD10CM | Covered |
| C57.00 | ICD10CM | Covered |
| C57.4 | ICD10CM | Covered |
| C64.1 | ICD10CM | Covered |
| C64.9 | ICD10CM | Covered |
| C71.0 | ICD10CM | Covered |
| C71.9 | ICD10CM | Covered |
| C72.0 | ICD10CM | Covered |
| C72.9 | ICD10CM | Covered |
| D21.4 | ICD10CM | Covered |
| D32.0 | ICD10CM | Covered |
| D32.9 | ICD10CM | Covered |
| Q85. | ICD10CM | Covered |