Payer PolicyActive
Oral Screening and Lesion Identification Systems
AETNA-CPB-0760
Aetna
Effective: October 11, 2023
Updated: December 6, 2025
created · Dec 2, 2025
Policy Summary
Aetna does not describe coverage for adjunctive oral screening devices, salivary tests, or imaging systems — conventional visual and tactile oral examination with histopathologic assessment (biopsy) remains the clinical standard. Epstein‑Barr virus testing, oral HPV testing (e.g., OraRisk), salivary biomarkers (DUSP100, IL‑1B, IL‑8, MMP‑9, microRNA, mRNA, s100P, TNF‑alpha), salivary hypermethylated DNA, and salivary metabolite biomarkers are considered experimental/investigational and not covered because their effectiveness has not been established.
Coverage Criteria Preview
Key requirements from the full policy
"No specific "Covered Indications" section is provided in this document. No adjunctive oral screening devices, salivary tests, or imaging systems are described as covered in the text."
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