15774 Insurance Policy Changes

Breast Reconstructive Surgery (CPB 0185, reviewed 2026-10-20)

This is a policy review (not a change) of Aetna's Clinical Policy Bulletin 0185 on Breast Reconstructive Surgery, last reviewed 2026-10-20. The document outlines covered procedures, acellular dermal matrices, CPT/HCPCS codes, and experimental procedures. No new effective date or policy modification is stated—this appears to be a routine review publication. Billing teams should verify current applicability against their existing implementation and confirm whether their Aetna plans have adopted or modified any of these criteria.