Talk to Us

Aetna prior authorization and CPT code lookup, page 32

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
0611TRadiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
0612TRadiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
0633TRadiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
0634TRadiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
0635TRadiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
0636TRadiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
0637TRadiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
0638TRadiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
0710TRadiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
0711TRadiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
0712TRadiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
0713TRadiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
C8900Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
C8901Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
C8902Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
C8903Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
C8905Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
C8906Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
C8908Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
C8909Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
C8910Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
C8911Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
C8912Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
C8913Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
C8914Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
C8918Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
C8919Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
C8920Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
C8931Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
C8932Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
C8933Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
C8934Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
C8935Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
C8936Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
S8035Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
S8037Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
S8042Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
S8092Radiology imagingParticipating provider precertification list for Aetna, Pg 43 Original policy
77371Radiation oncologyParticipating provider precertification list for Aetna, Pg 44 Original policy
77372Radiation oncologyParticipating provider precertification list for Aetna, Pg 44 Original policy
77373Radiation oncologyParticipating provider precertification list for Aetna, Pg 44 Original policy
77387Radiation oncologyParticipating provider precertification list for Aetna, Pg 44 Original policy
77402Radiation oncologyParticipating provider precertification list for Aetna, Pg 44 Original policy
77407Radiation oncologyParticipating provider precertification list for Aetna, Pg 44 Original policy
77412Radiation oncologyParticipating provider precertification list for Aetna, Pg 44 Original policy
77423Radiation oncologyParticipating provider precertification list for Aetna, Pg 44 Original policy
77424Radiation oncologyParticipating provider precertification list for Aetna, Pg 44 Original policy
77425Radiation oncologyParticipating provider precertification list for Aetna, Pg 44 Original policy
77437Radiation oncologyParticipating provider precertification list for Aetna, Pg 44 Original policy
77438Radiation oncologyParticipating provider precertification list for Aetna, Pg 44 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.

This website uses cookies to ensure you get the best experience on our website. Learn more