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Pterygia are indicators of an increased risk of developing
Claim Documentation Guidelines 09302019 - Aetna Dental
The LANAP technique does not have an ADA CDT code. The procedure is most accurately coded as D4341 - Periodontal Scaling and Root Planing, four or more teeth per quadrant or D4342 - Periodontal Scaling and Root Planing - one to three teeth, per quadrant. D4341 & D4342 Benefits for D4341 and D4342 require root surface calculus,[PDF]
Oral Surgery Medical In Nature - Aetna Dental
CDT Code Description (CDT code) CPT Code Description (CPT Code) Requires Precert / Review by OMFS PM. D7270 Tooth reimplantation and/or stabilization of accidentally evulsed or displaced tooth 21140 Closedtreatmentof mandibularormaxillary alveolar ridgefracture (separateprocedure) D7285 Biopsyoforal tissue (hard) 20220 20240 . 20245
Precertification Lists | CPT Code Lookup | Aetna
Search by CPT code. Enter one or more 5-digit CPT codes. This tool also helps to determine if a special program applies. Please note that the Aetna Student Health Precertification List is currently under revision. For assistance and information, contact Aetna Student Health Customer Service at 877-480-4161.
Soft Tissue Graft Procedures (007) - Dental CPBs | Aetna
Important NotePolicyBackgroundCodes1Revision DatesThe Above Policy Is Based on The Following ReferencesThis Clinical Policy Bulletin explains how we determine whether certain services or supplies are medically necessary. We made these decisions based on a review of currently available clinical information including: 1. Clinical outcome studies in the peer-reviewed published medical and dental literature 2. Regulatory status of the technology 3. Evidence-based guidelines of public health and health research agencies 4. Evidence-based guidelines and positions of leading national health professio..See more on aetna
Treatment of Peri-implantitis (036) - Dental CPBs | Aetna
Important NotePolicyBackgroundCodes1Revision DatesThe Above Policy Is Based on The Following ReferencesThis Clinical Policy Bulletin expresses Aetna's determination of whether certain services or supplies are medically necessary, experimental and investigational, or cosmetic. Aetna has reached these conclusions based upon a review of currently available clinical information (including clinical outcome studies in the peer-reviewed published medical literature, regulatory status of the technology, evidence-based guidelines of public health and health research agencies, evidence-based guidelines..See more on aetna
Resin Infiltration of Incipient Smooth Surface Lesions
Important NotePolicyBackgroundRevision DatesThe Above Policy Is Based on The Following ReferencesThis Clinical Policy Bulletin explains how we determine whether certain services or supplies are medically necessary. We made these decisions based on a review of currently available clinical information including: 1. Clinical outcome studies in the peer-reviewed published medical and dental literature 2. Regulatory status of the technology 3. Evidence-based guidelines of public health and health research agencies 4. Evidence-based guidelines and positions of leading national health professio..See more on aetna
Orthognathic Surgery - Medical Clinical Policy - Aetna
Aetna considers orthognathic surgery for correction of distortions within the sibilant sound class or for other distortions of speech quality (e.g., hyper-nasal or hypo-nasal speech) not medically necessary as these distortions do not cause functional impairment.
Cost Estimator & Fee Schedules - aetna
They reflect the amounts allowed for services as if Aetna is paying each ASA/CPT/HCPCS code on a line-by-line, fee-for-service basis. Note that physician fee schedule information will not display accurate rates for care services provided to Aetna members who participate in an accountable care organization (ACO) arrangement.
Provider Manuals – Health Care Professionals | Aetna
Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites.
Medical Clinical Policy Bulletins - Aetna
The responsibility for the content of Aetna Clinical Policy Bulletins (CPBs) is with Aetna and no endorsement by the AMA is intended or should be implied. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Clinical Policy Bulletins (CPBs).
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