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Aetna prior authorization and CPT code lookup, page 30

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
71275Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
71550Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
71551Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
71552Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
71555Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
72125Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
72126Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
72127Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
72128Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
72129Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
72130Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
72131Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
72132Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
72133Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
72141Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
72142Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
72146Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
72147Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
72148Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
72149Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
72156Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
72157Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
72158Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
72159Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
72191Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
72192Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
72193Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
72194Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
72195Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
72196Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
72197Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
72198Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
73200Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
73201Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
73202Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
73206Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
73218Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
73219Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
73220Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
73221Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
73222Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
73223Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
73225Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
73700Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
73701Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
73702Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
73706Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
73718Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
73719Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
73720Radiology 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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