Policy and Coding Updates-Implementation Date 12/1/2014
August 29, 2014Currently, Aetna will allow CPT codes 81400 – 81408 when billed with Cardiac/Pain/Genetic Panel Tests (81291, 81241, 81225, 81226, 81227, 81355, 81479). No edits exist when molecular pathology codes are billed with non-covered genetic tests. If any code within the cardiac pain genetic panel is denied on a claim, Aetna should also deny the associated molecular pathology code. Related service denial will be limited to same day/same provider; modifiers will not override denial.
Source: https://www.aetna.com/health-care-professionals.html