Aetna prior authorization and CPT code lookup, page 25
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 |
|---|---|---|
| 33270 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 33271 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 33272 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 33273 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 33274 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 33275 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 33289 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 33882 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 0515T | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 0516T | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 0517T | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 0519T | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 0520T | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 0614T | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 75580 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 78429 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 78430 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 78431 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 78432 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 78433 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 78434 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 78451 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 78452 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 78453 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 78454 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 78459 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 78466 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 78468 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 78469 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 78472 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 78473 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 78481 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 78483 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 78491 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 78492 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 78494 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 78496 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 93350 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 93351 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 93451 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 93452 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 93453 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 93454 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 93455 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 93456 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 93457 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 93458 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 93459 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 93460 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 Original policy |
| 93461 | Diagnostic cardiology (cardiac rhythm implantable devices, cardiac catheterization) | Participating provider precertification list for Aetna, Pg 36 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.