Humana prior authorization, page 14

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
99600	Home health/home infusion	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 18 Original policy
G0151	Home health/home infusion	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 18 Original policy
G0152	Home health/home infusion	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 18 Original policy
G0153	Home health/home infusion	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 18 Original policy
G0155	Home health/home infusion	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 18 Original policy
G0156	Home health/home infusion	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 18 Original policy
G0157	Home health/home infusion	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 18 Original policy
G0158	Home health/home infusion	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 18 Original policy
G0159	Home health/home infusion	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 18 Original policy
G0160	Home health/home infusion	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 18 Original policy
G0161	Home health/home infusion	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 18 Original policy
G0162	Home health/home infusion	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 18 Original policy
G0299	Home health/home infusion	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 18 Original policy
G0300	Home health/home infusion	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 18 Original policy
G0493	Home health/home infusion	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 18 Original policy
G0494	Home health/home infusion	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 18 Original policy
G0495	Home health/home infusion	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 18 Original policy
G0496	Home health/home infusion	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 18 Original policy
G2168	Home health/home infusion	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 18 Original policy
G2169	Home health/home infusion	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 18 Original policy
99183	Hyperbaric therapy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 20 Original policy
G0277	Hyperbaric therapy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 20 Original policy
43280	Laparoscopic hiatal hernia repair	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 21 Original policy
43281	Laparoscopic hiatal hernia repair	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 21 Original policy
43282	Laparoscopic hiatal hernia repair	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 21 Original policy
32096	Lung biopsy and resection	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 21 Original policy
32097	Lung biopsy and resection	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 21 Original policy
32505	Lung biopsy and resection	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 21 Original policy
32607	Lung biopsy and resection	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 21 Original policy
32608	Lung biopsy and resection	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 21 Original policy
32666	Lung biopsy and resection	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 21 Original policy
66989	Micro-Invasive Glaucoma Surgery (MIGs)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 22 Original policy
66991	Micro-Invasive Glaucoma Surgery (MIGs)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 22 Original policy
0253T	Micro-Invasive Glaucoma Surgery (MIGs)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 22 Original policy
0449T	Micro-Invasive Glaucoma Surgery (MIGs)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 22 Original policy
0450T	Micro-Invasive Glaucoma Surgery (MIGs)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 22 Original policy
0660T	Micro-Invasive Glaucoma Surgery (MIGs)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 22 Original policy
0661T	Micro-Invasive Glaucoma Surgery (MIGs)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 22 Original policy
0671T	Micro-Invasive Glaucoma Surgery (MIGs)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 22 Original policy
81105	Molecular diagnostic and genetic testing	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 23 Original policy
81112	Molecular diagnostic and genetic testing	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 23 Original policy
81120	Molecular diagnostic and genetic testing	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 23 Original policy
81121	Molecular diagnostic and genetic testing	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 23 Original policy
81161	Molecular diagnostic and genetic testing	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 23 Original policy
81162	Molecular diagnostic and genetic testing	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 23 Original policy
81163	Molecular diagnostic and genetic testing	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 23 Original policy
81165	Molecular diagnostic and genetic testing	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 23 Original policy
81166	Molecular diagnostic and genetic testing	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 23 Original policy
81167	Molecular diagnostic and genetic testing	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 23 Original policy
81168	Molecular diagnostic and genetic testing	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 23 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.