Aetna Exempts OMT Codes from Prior Authorization Policy
Effective August 1, 2019, OMT CPT codes 98925-98929 are exempt from Aetna’s prior authorization requirements. Aetna made the announcement to AOA leadership during a conference call earlier this week and highlighted the collaborative efforts of the AOA and the impacted state affiliates, which includes Pennsylvania, as a major factor in their decision.
“This change eliminates a barrier to safe, effective relief for patients seeking treatment for musculoskeletal pain, reflecting the understanding that pharmaceuticals shouldn’t be the only option physicians can immediately provide. AOA appreciates Aetna’s recognition of the value of osteopathic care and its decision to reduce administrative burden for DOs who perform OMT,” says AOA President Ronald Burns, DO, FACOFP.