Humana prior authorization, page 26

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
63663	Spinal cord stimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 40 Original policy
63664	Spinal cord stimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 40 Original policy
63685	Spinal cord stimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 40 Original policy
63688	Spinal cord stimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 40 Original policy
64999	Spinal cord stimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 40 Original policy
C1816	Spinal cord stimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 40 Original policy
C1820	Spinal cord stimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 40 Original policy
C1822	Spinal cord stimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 40 Original policy
L8679	Spinal cord stimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 40 Original policy
L8682	Spinal cord stimulators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 40 Original policy
20999	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22100	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22101	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22102	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22103	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22510	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22511	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22512	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22513	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22514	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22515	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22526	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22527	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22532	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22533	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22534	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22548	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22551	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22552	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22554	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22556	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22558	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22585	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22586	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22590	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22595	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22600	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22610	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22612	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22614	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22630	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22632	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22633	Spinal fusion, decompression, kyphoplasty and vertebroplasty	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22634	Information and to request a new account: nboarding information: m/provider/resources	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22800	Information and to request a new account: nboarding information: m/provider/resources	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22802	Information and to request a new account: nboarding information: m/provider/resources	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22804	Information and to request a new account: nboarding information: m/provider/resources	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22808	Information and to request a new account: nboarding information: m/provider/resources	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22810	Information and to request a new account: nboarding information: m/provider/resources	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 Original policy
22812	Information and to request a new account: nboarding information: m/provider/resources	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 41 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.