Aetna CPT CODES

Aetna Non-covered Lab code list


Aetna plans do not cover laboratory tests that are considered experimental or investigational, even when these studies are ordered by a participating physician. The below listed code are some of the most commonly ordered experimental or investigational lab tests.

Homocysteine cardiovascular test (CPT 83090)


Lipoprotein (A) (CPT 83695)

Immunoassay for tumor antigen, quantitative CA 19-9 (CPT 86301)

Infectious agent detection by nucleic acid (DNA or RNA); Papillomavirus, human, amplified probe technique (CPT 87621)

PCR test for Lyme disease (CPT 87476)

VAP cholesterol test (CPT 83701)

Reference: http://www.aetna.com/provider/data/OLU_SE_DEC2010_v4.pdf

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