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Discovering Psychology/Study Guide Number: 0648. Policy.
Aetna considers
autism spectrum disorder (ASD) evaluation and diagnosis medically necessary when developmental delays or persistent deficits in social communication and social interaction across multiple contexts have been identified and when the evaluation is performed by the appropriate certified/licensed health care professional.
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International Classification of Diseases (10th revision,
ICD-
10) published by the World Health Organization; the Diagnostic and Statistical Manual of
Mental Disorders (Fifth Edition,
DSM-5) by the American Psychiatric Association.; Both have deliberately merged their diagnoses to some extent, but some differences remain.
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