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Payment policies

Aetna Better Health of Kansas regularly augments payment policies as part of an ongoing policy review processes. Stay informed of the latest changes.

4/5/24

 

CCR DRG Denial Letter (PDF)

 

Provider notification 11/17/23 (PDF)

 

5/19/22

 

Psychiatric Diagnostic Evaluation Policy

 

Ambulance Policy

 

4/15/2022

 

Self Administered Drugs Policy

 

Orthopedic Policy

 

Gastrointestinal Capsule Imaging Policy

 

Drug and Biological Policy Processing and Policy Guidelines - National Drug Code (NDC)

 

9/29/21

 

Ultrasound Policy

 

Planned Cesarean Delivery Less than 39 Weeks of Gestation

 

Nail Biopsy Policy

 

Lab Path Genetic Testing Policy

 

Glucose Monitors Policy

 

COVID-19 Testing and Specimen Collection Policy

 

Anesthesia for Gastrointestinal Endoscopic Procedures

 

1/19/2021

 

Rev Code Policy

 

Polysomnography Services

 

Hydration Therapy

 

EM Management

 

Duplicate Policy

 

DME Max Units Over Time

 

Diagnostic Imaging – 3D Rendering

 

8/21/20

 

Parenteral and Ambulatory Infusion Pumps

 

Anesthesia Modifier Policy

 

Food Thickener

 

Intrauterine Contraceptives Systems and Implants

 

Non-Covered DME Supplies

 

Psychotherapy and Electroconvulsive Therapy

 

6/26/2020

 

Allergen Immunotherapy

 

Breast Pumps and Accessories

 

Canes and Crutches

 

Day Habilitation Services

 

Diagnosis Code Guidelines

 

Gene Analysis

 

Ophtalmeology Services

 

Phototherapy

 

10/1/2019

 

Diagnosis Code Guideline Policy – Laterality Policies

 

EM Services – Multiple Evaluation and Management Service on the Same Day

 

EM Services – New Patient Visits

 

Place of Service – Supplies and Equipment Provided in the Facility Setting

 

8/15/2019

 

Add-on Clinical Policy

 

Diagnosis Code Guidelines Policy-ICD-10-CM Sequela (7th character "S") Codes

 

Manifestation Diagnosis Codes

 

Duplicate Claim Policy

 

Procedure Code Definition Policy

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