Payer PolicyActive
Breast Transillumination, Electrical Impedance Scanning (EIS), and Elastography
AETNA-CPB-0386
Aetna
Effective: December 5, 2023
Updated: December 6, 2025
created · Dec 2, 2025
Policy Summary
Aetna considers breast elastography (any method, including combined shear‑wave with ultrasound), electrical impedance scanning (EIS), and non‑elastographic quantitative ultrasound experimental and investigational and does not cover them. No coverage criteria or approved indications are provided because effectiveness has not been established.
Coverage Criteria Preview
Key requirements from the full policy
"None specified in this Clinical Policy Bulletin."
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Covered Medical Codes