Humana prior authorization, page 21

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
L0720	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L0999	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L1000	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L1200	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L1499	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L1680	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L1685	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L1686	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L1690	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L1700	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L1730	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L1834	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L1840	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L1843	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L1844	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L1845	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L1846	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L1848	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L1851	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L1852	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L1860	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L1907	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L1932	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L1933	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L1945	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L1950	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L1951	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L1952	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L1960	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L1970	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L2000	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L2005	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L2006	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L2010	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L2020	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L2030	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L2034	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L2036	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L2037	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L2038	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L2106	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L2108	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L2128	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L2136	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L2350	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L2525	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L2526	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L2627	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L2999	Orthotics	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 29 Original policy
L3671	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.