Humana prior authorization

Requirements

Notification and authorization stay separate. An approved notification row keeps the notification label. The long descriptor is blank because no AMA-licensed CPT file was available to copy.

CPT code lookup

Prior authorization codes

Prior authorization codes
Code	Description	Source
15830	Abdominoplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
15847	Abdominoplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
20982	Bone, liver, kidney, prostate cancer and irreversible electroporation	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
20983	Bone, liver, kidney, prostate cancer and irreversible electroporation	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
47370	Bone, liver, kidney, prostate cancer and irreversible electroporation	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
47371	Bone, liver, kidney, prostate cancer and irreversible electroporation	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
47380	Bone, liver, kidney, prostate cancer and irreversible electroporation	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
47381	Bone, liver, kidney, prostate cancer and irreversible electroporation	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
47382	Bone, liver, kidney, prostate cancer and irreversible electroporation	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
47383	Bone, liver, kidney, prostate cancer and irreversible electroporation	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
47384	Bone, liver, kidney, prostate cancer and irreversible electroporation	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
50250	Bone, liver, kidney, prostate cancer and irreversible electroporation	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
50541	Bone, liver, kidney, prostate cancer and irreversible electroporation	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
50542	Bone, liver, kidney, prostate cancer and irreversible electroporation	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
50592	Bone, liver, kidney, prostate cancer and irreversible electroporation	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
50593	Bone, liver, kidney, prostate cancer and irreversible electroporation	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
51721	Bone, liver, kidney, prostate cancer and irreversible electroporation	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
52597	Bone, liver, kidney, prostate cancer and irreversible electroporation	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
53850	Bone, liver, kidney, prostate cancer and irreversible electroporation	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
53852	Bone, liver, kidney, prostate cancer and irreversible electroporation	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
53854	Bone, liver, kidney, prostate cancer and irreversible electroporation	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
55873	Bone, liver, kidney, prostate cancer and irreversible electroporation	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
55881	Bone, liver, kidney, prostate cancer and irreversible electroporation	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
55882	Bone, liver, kidney, prostate cancer and irreversible electroporation	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
55877	Bone, liver, kidney, prostate cancer and irreversible electroporation	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
0582T	Bone, liver, kidney, prostate cancer and irreversible electroporation	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
0600T	Bone, liver, kidney, prostate cancer and irreversible electroporation	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
0601T	Bone, liver, kidney, prostate cancer and irreversible electroporation	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
0950T	Bone, liver, kidney, prostate cancer and irreversible electroporation	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
93650	Cardiac ablation/electrophysiology	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
93653	Cardiac ablation/electrophysiology	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
93654	Cardiac ablation/electrophysiology	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
93656	Cardiac ablation/electrophysiology	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 5 Original policy
90867	Transcranial magnetic stimulation (TMS)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 6 Original policy
90868	Transcranial magnetic stimulation (TMS)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 6 Original policy
90869	Transcranial magnetic stimulation (TMS)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 6 Original policy
15820	Select UM Prior Authorization under UM Actions, and	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 6 Original policy
15821	Select UM Prior Authorization under UM Actions, and	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 6 Original policy
15822	Select UM Prior Authorization under UM Actions, and	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 6 Original policy
15823	Select UM Prior Authorization under UM Actions, and	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 6 Original policy
67900	Select UM Prior Authorization under UM Actions, and	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 6 Original policy
67903	Select UM Prior Authorization under UM Actions, and	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 6 Original policy
67904	Select UM Prior Authorization under UM Actions, and	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 6 Original policy
67908	Select UM Prior Authorization under UM Actions, and	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 6 Original policy
67909	Select UM Prior Authorization under UM Actions, and	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 6 Original policy
67911	Select UM Prior Authorization under UM Actions, and	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 6 Original policy
67914	Select UM Prior Authorization under UM Actions, and	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 6 Original policy
67916	Select UM Prior Authorization under UM Actions, and	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 6 Original policy
67917	Select UM Prior Authorization under UM Actions, and	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 6 Original policy
67921	Select UM Prior Authorization under UM Actions, and	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 6 Original policy

Medicare

The rows above are limited to the Medicare Advantage scopes in each table. They are not a single Medicare answer. Each row shows its own reviewed disposition.

Precertification list

Humana Medicare Advantage and D-SNP prior authorization and notification list

Humana prior authorization lists

Humana prior authorization search tool

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.