Aetna prior authorization and CPT code lookup, page 2
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
| Code | Description | Source |
|---|---|---|
| K0801 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0802 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0806 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0807 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0808 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0812 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0813 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0814 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0815 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0816 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0820 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0821 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0822 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0823 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0824 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0825 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0826 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0827 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0828 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0829 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0830 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0831 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0835 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0836 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0837 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0838 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0839 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0840 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0841 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0842 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0843 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0848 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0849 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0850 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0851 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0852 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0853 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0854 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0855 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0856 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0857 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0858 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0859 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0860 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0861 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0862 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0863 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0864 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0868 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 Original policy |
| K0869 | Electric or motorized wheelchairs | Participating provider precertification list for Aetna, Pg 8 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.
Plan and setting exceptions
Student Health and Allina Health / Aetna are separate from the participating-provider rows above.
Prior authorization forms
| Product or plan | Benefit | Route |
|---|---|---|
| Use the plan named on the official form page | Medical and pharmacy forms are listed by Aetna | Aetna 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.