Humana prior authorization, page 20

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
29870	Orthopedic surgeries: hip, knee and shoulder arthroscopy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 28 Original policy
29871	Orthopedic surgeries: hip, knee and shoulder arthroscopy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 28 Original policy
29873	Orthopedic surgeries: hip, knee and shoulder arthroscopy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 28 Original policy
29874	Orthopedic surgeries: hip, knee and shoulder arthroscopy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 28 Original policy
29875	Orthopedic surgeries: hip, knee and shoulder arthroscopy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 28 Original policy
29876	Orthopedic surgeries: hip, knee and shoulder arthroscopy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 28 Original policy
29877	Orthopedic surgeries: hip, knee and shoulder arthroscopy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 28 Original policy
29879	Orthopedic surgeries: hip, knee and shoulder arthroscopy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 28 Original policy
29880	Orthopedic surgeries: hip, knee and shoulder arthroscopy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 28 Original policy
29881	Orthopedic surgeries: hip, knee and shoulder arthroscopy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 28 Original policy
29882	Orthopedic surgeries: hip, knee and shoulder arthroscopy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 28 Original policy
29883	Orthopedic surgeries: hip, knee and shoulder arthroscopy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 28 Original policy
29884	Orthopedic surgeries: hip, knee and shoulder arthroscopy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 28 Original policy
29885	Orthopedic surgeries: hip, knee and shoulder arthroscopy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 28 Original policy
29886	Orthopedic surgeries: hip, knee and shoulder arthroscopy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 28 Original policy
29887	Orthopedic surgeries: hip, knee and shoulder arthroscopy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 28 Original policy
29888	Orthopedic surgeries: hip, knee and shoulder arthroscopy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 28 Original policy
29889	Orthopedic surgeries: hip, knee and shoulder arthroscopy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 28 Original policy
29914	Orthopedic surgeries: hip, knee and shoulder arthroscopy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 28 Original policy
29915	Orthopedic surgeries: hip, knee and shoulder arthroscopy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 28 Original policy
29916	Orthopedic surgeries: hip, knee and shoulder arthroscopy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 28 Original policy
29999	Orthopedic surgeries: hip, knee and shoulder arthroscopy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 28 Original policy
C9781	Orthopedic surgeries: hip, knee and shoulder arthroscopy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 28 Original policy
J7330	Orthopedic surgeries: hip, knee and shoulder arthroscopy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 28 Original policy
K1007	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L0452	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L0456	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L0457	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L0458	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L0460	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L0462	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L0464	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L0480	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L0482	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L0484	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L0486	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L0488	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L0624	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L0629	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L0631	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L0632	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L0634	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L0635	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L0636	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L0637	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L0638	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L0639	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L0640	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L0700	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L0710	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 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.