Does Aetna cover pap smear?
Aetna considers Pap screening medically necessary beginning in adolescense in HIV-infected women. Aetna considers Pap smear screening not medically necessary for women who have undergone complete (total) hysterectomy for benign disease (e.g., no evidence of cervical neoplasia or cancer) or have absent cervix.
What is the CPT code for Pap smear?
If using CPT® preventive medicine services, and also performing a screening pap smear report a code in 99381-99397 series and Q0091. If using E/M codes for a symptom or condition and practitioner also obtains a pap smear report only the E/M service. Do not report Q0091 because it is for obtaining a screening test.
Does Aetna cover CPT 99358?
Prolonged physician services 9/1/2011 Aetna does not pay for medical services without direct patient contact; thus, procedure codes 99358 and 99359 will be denied.
What does screening for malignant neoplasm of the cervix mean?
Cervical cancer screening is used to find changes in the cells of the cervix that could lead to cancer. Screening includes cervical cytology (also called the Pap test or Pap smear), testing for human papillomavirus (HPV), or both. Most women should have cervical cancer screening on a regular basis.
How much does Aetna cover for ER visits?
Emergency Room Visit At Hospital $250 Copayment per visit (waived if admitted) Ambulance $100 Copayment per transport Urgent Care $75 Copayment per visit If the use of a Participating or Non-Participating Hospital Emergency Room is not due to an Emergency Medical Condition for a Condition covered by this Group Plan.
What does CPT code 87624 mean?
Infectious agent detection
Code 87624 (Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68)).
What is the CPT code 88175?
CPT® 88175 in section: Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation.
What modifier does Aetna use for telemedicine?
For commercial members non-facility telemedicine claims must use POS 02 with the GT or 95 modifier. Fee schedules have been updated so claims with approved telemedicine CPT codes and modifiers with POS 02 will be reimbursed at the same rate as an equal office visit.
Does Aetna accept consult codes 2020?
But United Healthcare has a new payment policy that allows payment for consultations. Other payers, including Cigna, Aetna, and Anthem, do cover consultations in most states.
What causes most cervical cancers?
All women are at risk for cervical cancer. It occurs most often in women over age 30. Long-lasting infection with certain types of human papillomavirus (HPV) is the main cause of cervical cancer. HPV is a common virus that is passed from one person to another during sex.
What are the medical policy bulletins for Aetna?
Explore the medical clinical policy bulletins that Aetna uses to decide which services and procedures we will cover. Medical Clinical Policy Bulletins – Health Care Professionals | Aetna Skip to main content Aetna.com works best with Internet Explorer 11 and above, and does not work in compatibility mode.
Who are Aetna specialty institutes and aexcel performance network?
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Why is Gardasil 9 experimental and investigational for Aetna?
Aetna considers Gardasil 9 experimental and investigational for the following indications (not an all-inclusive list) because their effectiveness for indications other than ones listed above have not been established: Benign squamous papilloma Prevention of recurrence of ano-genital warts