#AETNA CLAIMS TIMELY FILING LIMIT UPDATE#
#AETNA CLAIMS TIMELY FILING LIMIT CODE#
#AETNA CLAIMS TIMELY FILING LIMIT PROFESSIONAL#

#AETNA CLAIMS TIMELY FILING LIMIT UPDATE#

The December 2010 issue contained incorrect information in the “Physicians: update your hospital privileges in DocFind ® article.” To add a new provider proﬁle to DocFind, the article should have directed readers to choose NaviNet and then to “Update Aetna Provider Proﬁles.” Note that access to this application is enabled by your ofﬁce’s NaviNet security ofﬁcer. As of June 1, 2011, the reduction will be based on Our current policy applies the reduction to scans performed onĬontiguous body areas based on the 11 imaging families. This change is based on the CMS Policy change that went into effect on January 1, 2011. Two or more services are furnished to the same patient in a single session.

#AETNA CLAIMS TIMELY FILING LIMIT CODE#

Modiﬁer 59 will notĦ3661 will deny when billed within 90 days of procedure code 63650.Įffective June 1, 2011, our policy for multiple imaging procedures will change to apply the reduction when With anesthesia codes (D9220, D9221, D9241, D9242, or 00170).ĪSA code 00170 will be allowed when billed with intraoral surgery procedure codes.Ī4580 will deny as incidental when billed with a code within range 元000 - 元090. Review for a procedure billed with Modiﬁer 52.ĪDA exam/evaluation codes (D0120, D0140, D0150, D0160, D0170, or D0180) will be denied when billed Aetna pays 50 percent of either the negotiated rate or recognized charge without Modiﬁer 52 is reported when a service or procedure has been partially reduced or eliminated at the Vascular catheters used in conjunction with a medical and/or surgical procedure will be considered incidental HPV testing is considered experimental and investigational for girls and women less than 21 years of ageīased on the recommendations of the American College of Obstetricians and Gynecologists. All other indicationsĪre considered experimental and investigational.

Infectious agent quantiﬁcation using nucleic acid (DNA or RNA) technique is conditionally eligible for speciﬁcĭiagnoses outlined in Clinical Policy Bulletin #0650 – Polymerase Chain Reaction Testing. All other indications are considered experimental and investigational including routine Visual Evoked Potentials (VEP) are considered conditionally eligible for speciﬁc diagnoses outlined in Clinical The accompanying chart outlines coding and policy changes:Īetna will pay A4221 once per week based on HCPCS coding guidelines however, for physicians, it isĬonsidered incidental and not separately payable.

#AETNA CLAIMS TIMELY FILING LIMIT PROFESSIONAL#

In developing our policies, we may consult with external professional organizations, medical societies and the independent Physician Advisory Board, which provides advice to us on issues of importance to physicians. We regularly adjust our clinical, payment and coding policy positions as part of our ongoing policy review processes. Landlord (Tenant) Recommendation LetterĬlinical payment, coding and policy changes.

Aetna claims timely filing limit