DECEMBER 2021 - aetna.com

90-day notices and important reminders We regularly adjust our clinical, payment and coding policy positions as part of our ongoing policy review processes. Our standard payment policies identify services that may be incidental to other services and, therefore, ineligible for payment. We re required to notify you of any change that could affect you either financially or administratively at least 90 days before the effective date of the change. This change may not be considered a material change in all states. Unless otherwise stated, policy changes apply to both Commercial and Medicare lines of business. Office consultation codes payment update CORRECTION: In September, this article appeared on with an incorrect start date of DECEMBER 1, 2021. The correct start date is March 1, 2022. Off iceLink Updates Find updates on important changes to plans and procedures, drug lists, Medicare and state-specific information.

An advanced imaging procedure at a hospital outpatient site is considered medically necessary when cases involve certain factors. Examples are those where: • the individual is under 18 years of age • obstetrical observation is required • perinatology services are required

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  Aetna, Observation, Outpatient

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