New coding guidance: Check the current Aetna policy if you’re hit by unexpected ultrasound, injection denials

Why This Topic Matters

Aetna policy changes can affect whether ultrasound-related services are payable, making it important for practices to monitor policy updates before claims are submitted. The article helps readers understand the kinds of services that may be reviewed under the payer’s ultrasound guidance policy and why diagnosis coding and internal workflow awareness matter.

Article Sections

1. Policy update and scope

   Introduces the payer policy update and the broad categories of services affected. Summarizes where the updated policy information is maintained.

2. Services noted as not covered or restricted

   Describes several procedure categories mentioned in the policy update that may be impacted by ultrasound coverage review. Focuses on the general service areas discussed in the article.

3. Intermediate joint and bursa injections

   Explains that the policy discussion includes an example involving an intermediate joint or bursa procedure and diagnosis-based claim review. Notes that the article points readers to multiple code sections for more detail.

4. Ultrasound allowed with DRB

   Covers the portion of the policy addressing dorsal ramus block-related ultrasound coverage. Emphasizes the article’s discussion of diagnosis specificity and staff awareness.