AcuTect Scintigraphic Imaging for Detection of Lower Limb Deep Vein Thrombosis

Aetna considers AcuTect scintigraphic imaging for detection/localization of lower‑extremity DVT experimental and investigational and not covered (CPT 78456 and HCPCS A9504 not covered; services for the listed ICD‑10 codes I80.x, I82.x, O22.x, O87.x are excluded). This determination is based on insufficient evidence of clinical benefit—reported agreement with contrast venography is only 56–73% and there are no adequate clinical follow‑up data to confirm outcomes after negative AcuTect scans.

"None — Aetna considers AcuTect scintigraphic imaging for detection and localization of deep vein thrombosis (DVT) in the lower extremity experimental and investigational and therefore not covered."

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