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Aetna prior authorization and CPT code lookup, page 11

CPT code lookup

Each row is one code from the participating-provider precertification list. This is not a coding dictionary, and it is not a coverage decision. The description is the service name on that list.

Participating-provider outpatient list

Inpatient, emergency, and observation settings are outside this outpatient list. This page does not publish a determination for those settings.

Prior authorization codes

Prior authorization codes
CodeDescriptionSource
22224Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22226Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22532Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22533Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22534Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22548Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22551Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22552Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22554Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22556Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22558Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22585Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22590Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22595Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22600Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22610Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22612Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22614Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22630Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22632Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22633Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22634Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22830Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22840Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22841Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22842Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22843Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22844Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22845Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22846Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22847Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22848Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22849Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22853Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22854Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22859Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
27278Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
27279Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
27280Spinal procedures (continued): Spinal fusion surgeryParticipating provider precertification list for Aetna, Pg 14 Original policy
22800Spinal procedures (continued): Surgery for spine deformityParticipating provider precertification list for Aetna, Pg 14 Original policy
22802Spinal procedures (continued): Surgery for spine deformityParticipating provider precertification list for Aetna, Pg 14 Original policy
22804Spinal procedures (continued): Surgery for spine deformityParticipating provider precertification list for Aetna, Pg 14 Original policy
22808Spinal procedures (continued): Surgery for spine deformityParticipating provider precertification list for Aetna, Pg 14 Original policy
22810Spinal procedures (continued): Surgery for spine deformityParticipating provider precertification list for Aetna, Pg 14 Original policy
22812Spinal procedures (continued): Surgery for spine deformityParticipating provider precertification list for Aetna, Pg 14 Original policy
22838Spinal procedures (continued): Precertification required for Commercial plans only for the following: 22836,22837,Participating provider precertification list for Aetna, Pg 14 Original policy
0656TSpinal procedures (continued): Precertification required for Commercial plans only for the following: 22836,22837,Participating provider precertification list for Aetna, Pg 14 Original policy
0657TSpinal procedures (continued): Precertification required for Commercial plans only for the following: 22836,22837,Participating provider precertification list for Aetna, Pg 14 Original policy
0790TSpinal procedures (continued): Precertification required for Commercial plans only for the following: 22836,22837,Participating provider precertification list for Aetna, Pg 14 Original policy
63081Spinal procedures (continued): Vertebral corpectomyParticipating provider precertification list for Aetna, Pg 14 Original policy

Aetna precertification list

The participating-provider examples point at the official list. Open the list itself for the current file, including its effective date.

Aetna participating provider precertification list

Aetna precertification lists

Plan and setting exceptions

Student Health and Allina Health / Aetna are separate from the participating-provider rows above.

Prior authorization forms

Official Aetna form route
Product or planBenefitRoute
Use the plan named on the official form pageMedical and pharmacy forms are listed by AetnaAetna health care professional forms

This page does not reproduce a form and does not list a fax number that was not read from the form page.

Sources

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.

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