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AETNA-CPB-0509
Aetna
Updated: December 6, 2025
created · Dec 2, 2025
Policy Summary
Unable to summarize because the Aetna Clinical Policy Bulletin could not be retrieved due to a server error, so coverage/exclusions are unknown. Please provide the policy text or retry the request so I can summarize covered/excluded items and any key requirements.
Coverage Criteria Preview
Key requirements from the full policy
"None — Aetna considers contact dissolution (direct solvent dissolution or litholysis) experimental and investigational for the treatment of gallstones."
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Covered Medical Codes