Barrett's Esophagus | Aetna | Backwork

Barrett's Esophagus

Aetna · PayerPolicy · AETNA-CPB-0728

Status: Active
Effective: August 2, 2023
Last reviewed by Aetna: November 25, 2025
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
43206	CPT	Covered
43252	CPT	Covered
91110	CPT	Covered
91111	CPT	Covered
C15.3	ICD10CM	Covered
C15.9	ICD10CM	Covered
K22.70	ICD10CM	Covered
K22.710	ICD10CM	Covered
K22.711	ICD10CM	Covered
K22.719	ICD10CM	Covered
P16	ICD10CM	Covered