Computed tomography aetna medical policy

  • * Aetna covers the screening if the following requirements are met: 1.
    Asymptomatic persons age 40 years and older with diabetes; or 2.
    Asymptomatic persons with an intermediate (10 % to 20 %) 10-year risk of cardiac events based on Framingham Risk Scoring or Pooled Cohort Equations.
  • Does Aetna cover heart screening?

    It's the leading cause of death among women in the U.S.1 We need to change that.
    That's why Aetna\xae, a CVS Health\xae company, covers heart disease screenings for women under most plans..

  • Does Aetna cover Spect scans?

    Aetna considers SPECT medically necessary for the diagnosis of coronary artery disease and for the assessment of prognosis in persons with coronary artery disease except as outlined in "exclusion criteria" below." For medical necessity criteria, see eviCore Healthcare Cardiac Imaging Clinical Guidelines..

  • What is the Aetna policy 76376?

    According to CMS policy, .

    1. D rendering with interpretation and reporting of CT, MRI, US, or other tomographic modality (76376, 76377), requires an approved secondary diagnosis.
    2. A qualifying procedure for the .
    3. D rendering should also be included on the same date of service, or in the previous three days

  • Will Aetna cover MRI?

    Aetna considers magnetic resonance imaging (MRI) medically necessary for appropriate indications without regard to the field strength or configuration of the MRI unit.
    Aetna considers intermediate and low field strength MRI units to be an acceptable alternative to standard full strength MRI units..

  • Aetna considers SPECT medically necessary for the diagnosis of coronary artery disease and for the assessment of prognosis in persons with coronary artery disease except as outlined in "exclusion criteria" below." For medical necessity criteria, see eviCore Healthcare Cardiac Imaging Clinical Guidelines.
  • It's the leading cause of death among women in the U.S.1 We need to change that.
    That's why Aetna\xae, a CVS Health\xae company, covers heart disease screenings for women under most plans.
  • Medical Clinical Policy Bulletins (CPBs) detail the services and procedures we consider medically necessary, cosmetic, or experimental and unproven.
Aetna considers MRI and CT of the spine experimental and investigational for all other indications because their clinical value for indications other than theĀ 

Does Aetna consider MRI and CT of the spine medically necessary?

This Clinical Policy Bulletin addresses magnetic resonance imaging (MRI) and computed tomography (CT) of the spine

Aetna considers magnetic resonance imaging (MRI) and computed tomography (CT) of the spine medically necessary when any of the following criteria is met: Clinical suspicion of a spinal cord or cauda equina compression syndrome; or

Does Aetna consider total-body CT screening experimental or investigational?

This Clinical Policy Bulletin addresses total-body CT screening

Aetna considers total body (i

e

, full-body or whole-body) computed tomography (CT) screening or full-body ultrafast (electron-beam) CT screening experimental and investigational because it has not been shown to be effective as a screening test

Why does Aetna use CT angiography for aortic erosion?

Aetna considers cardiac computed tomography (CT) angiography medically necessary for evaluation of aortic erosion in symptomatic members (e

g

, chest pain) who have been treated for atrial septal defect with an occlusive device


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