What insurance policy changes affect code O22.93?

There are 2 tracked policy changes affecting code O22.93, including updates from Aetna. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for code O22.93?

Payers that have issued tracked updates for code O22.93 include: Aetna.

How do I get notified when code O22.93 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to code O22.93. You will get an email when new policy changes reference this code: daily or weekly, your choice, on every plan.

Why do payers change policies for code O22.93?

Payers revise policies for individual billing codes to align with updated clinical guidelines, CMS rule changes, fraud and abuse prevention measures, or network cost-management goals. Changes can affect medical necessity criteria, place-of-service restrictions, bundling rules, or whether a code requires prior authorization.

PAYER POLICY CHANGES

O22.93 Insurance Policy Changes

ICD-10 O22.93 is officially defined as "Venous complication in pregnancy, unspecified, third trimester." code O22.93 is referenced in 2 tracked payer policy changes from Aetna. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for code O22.93 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Only a small number of policies match this filter. Check back as coverage expands.

Aetna · Identified Aug 12, 2026Medium impact
AcuTect Scintigraphic Imaging for Detection of Lower Limb Deep Vein Thrombosis (CPB 0414, reviewed 2026-07-09)
Aetna considers AcuTect scintigraphic imaging for detection and localization of lower extremity deep vein thrombosis experimental, investigational, or unproven, because its clinical value in managing suspected DVT has not been clearly established. CPT 78456 is listed as not covered for the indications in this bulletin. Other related codes listed are CPT 75820, 75822, 78457, 78458 and HCPCS A9504.
Aetna · Identified Aug 12, 2026Medium impact
Varicose Veins (CPB 0050, reviewed 2026-08-03)
Aetna considers ligation, stripping, radiofrequency, endovenous laser and cyanoacrylate closure of the saphenous veins medically necessary when incompetence at the saphenofemoral or saphenopopliteal junction is documented by ultrasound performed within the past 6 months, with junctional reflux of 500 milliseconds or greater, a vein at least 4.5 mm in diameter below the junction, and the symptom criteria in the policy are met. Liquid or foam sclerotherapy (for example Varithena) is medically necessary for symptomatic saphenous veins, varicose tributaries, accessory veins and perforator veins that are 2.5 mm or greater in diameter when the criteria are met, and ambulatory phlebectomy is medically necessary as adjunctive treatment under the same size and symptom criteria. Treatment of veins less than 2.5 mm is considered cosmetic, endovenous ablation of varicose tributaries and accessory veins other than the accessory saphenous vein is considered experimental, investigational or unproven, and sclerotherapy for reflux at the saphenofemoral or saphenopopliteal junction is considered experimental.

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AcuTect Scintigraphic Imaging for Detection of Lower Limb Deep Vein Thrombosis (CPB 0414, reviewed 2026-07-09)

Varicose Veins (CPB 0050, reviewed 2026-08-03)

What insurance policy changes affect code O22.93?

Which payers have updated policy for code O22.93?

How do I get notified when code O22.93 policy changes?

Why do payers change policies for code O22.93?