Payer PolicyActive
Age-Related Macular Degeneration
AETNA-CPB-0765
Aetna
Effective: February 20, 2024
Updated: December 6, 2025
created · Dec 2, 2025
Policy Summary
Aetna covers treatment of neovascular (wet) age‑related macular degeneration with specified anti‑VEGF agents (aflibercept, bevacizumab, pegaptanib, ranibizumab) and verteporfin photodynamic therapy when provided according to the applicable Aetna clinical policy bulletins. Aetna considers numerous diagnostics, genetic/polymorphism testing, complement inhibitors, gene/stem‑cell therapies, many pharmacologic/surgical approaches and listed CPT/HCPCS/drug codes experimental/investigational and not covered.
Coverage Criteria Preview
Key requirements from the full policy
"No explicit Medicare/coverage-specific documentation requirements are stated in this document."
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