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Aetna prior authorization and CPT code lookup, page 29

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
37291Peripheral arterial disease (PVD)Participating provider precertification list for Aetna, Pg 42 Original policy
37292Peripheral arterial disease (PVD)Participating provider precertification list for Aetna, Pg 42 Original policy
37293Peripheral arterial disease (PVD)Participating provider precertification list for Aetna, Pg 42 Original policy
37294Peripheral arterial disease (PVD)Participating provider precertification list for Aetna, Pg 42 Original policy
37295Peripheral arterial disease (PVD)Participating provider precertification list for Aetna, Pg 42 Original policy
95782Polysomnography (attended sleep studies)Participating provider precertification list for Aetna, Pg 42 Original policy
95783Polysomnography (attended sleep studies)Participating provider precertification list for Aetna, Pg 42 Original policy
95805Polysomnography (attended sleep studies)Participating provider precertification list for Aetna, Pg 42 Original policy
95807Polysomnography (attended sleep studies)Participating provider precertification list for Aetna, Pg 42 Original policy
95808Polysomnography (attended sleep studies)Participating provider precertification list for Aetna, Pg 42 Original policy
95810Polysomnography (attended sleep studies)Participating provider precertification list for Aetna, Pg 42 Original policy
95811Polysomnography (attended sleep studies)Participating provider precertification list for Aetna, Pg 42 Original policy
89290Pre-implantation genetic testing —Participating provider precertification list for Aetna, Pg 42 Original policy
89291Pre-implantation genetic testing —Participating provider precertification list for Aetna, Pg 42 Original policy
70336Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70450Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70460Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70470Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70471Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70472Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70473Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70480Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70481Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70482Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70486Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70487Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70488Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70490Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70491Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70492Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70496Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70498Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70540Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70542Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70543Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70544Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70545Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70546Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70547Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70548Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70549Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70551Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70552Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70553Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70554Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
70555Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
71250Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
71260Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
71270Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
71271Radiology imagingParticipating provider precertification list for Aetna, Pg 43 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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