It does not mean precertification as defined by Texas law, as a reliable representation of payment of care or services to fully insured HMO and PPO members. VisitVision Provider Searchto view your vision providers. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Vision Provider Locator The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT), copyright 2015 by the American Medical Association (AMA). Treating providers are solely responsible for dental advice and treatment of members. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Periodontists: these dentists specialize in treating complex cases of gum disease, along with other infections or problems involving the tissues that support the teeth. Enter your location by address, city or zip code. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse or interpretation of information contained in Aetna Clinical Policy Bulletins (CPBs). License to sue CPT for any use not authorized herein must be obtained through the American Medical Association, CPT Intellectual Property Services, 515 N. State Street, Chicago, Illinois 60610. No fee schedules, basic unit, relative values or related listings are included in CPT. ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. This information is neither an offer of coverage nor medical advice. Any use of CPT outside of Aetna Clinical Policy Bulletins (CPBs) should refer to the most current Current Procedural Terminology which contains the complete and most current listing of CPT codes and descriptive terms. ALL inpatient confinements require PA and usually ALL services provided . Youd likely go to an oral surgeon if you have an impacted wisdom tooth or need another type of other complicated extraction. Find a Provider. Dental Benefits | Aetna Medicaid West Virginia / Dental Benefits Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT.
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