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

Prior authorization codes
CodeDescriptionSource
K0801Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0802Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0806Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0807Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0808Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0812Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0813Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0814Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0815Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0816Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0820Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0821Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0822Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0823Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0824Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0825Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0826Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0827Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0828Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0829Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0830Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0831Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0835Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0836Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0837Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0838Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0839Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0840Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0841Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0842Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0843Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0848Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0849Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0850Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0851Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0852Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0853Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0854Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0855Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0856Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0857Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0858Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0859Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0860Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0861Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0862Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0863Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0864Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0868Electric or motorized wheelchairsParticipating provider precertification list for Aetna, Pg 8 Original policy
K0869Electric or motorized wheelchairsParticipating 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.

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.