Humana prior authorization, page 17

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
0588T	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
0786T	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
0787T	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
0816T	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
0817T	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
0818T	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
0819T	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
0908T	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
0909T	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
0910T	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
0911T	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
0912T	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
0956T	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
0957T	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
0958T	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
0959T	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
0960T	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
0968T	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
0969T	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
0988T	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
0989T	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
1013T	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
1014T	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
1015T	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
1027T*	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
1028T*	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
1029T*	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
C1607	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
C1767	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
C1787	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
C1826	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
C9807	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
E0734	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
E0735	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
E0736	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
E0737	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
E0743	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
L8683	Neurostimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
E0466	Noninvasive home ventilators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
E0468	Noninvasive home ventilators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
0813T	Obesity surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
43290	Obesity surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
43291	Obesity surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
43631	Obesity surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
43632	Obesity surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
43633	Obesity surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
43634	Obesity surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
43644	Obesity surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
43645	Obesity surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 Original policy
43770	Obesity surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 26 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.