Humana prior authorization, page 27

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
22818	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
22819	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
22830	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
22836	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
22837	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
22838	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
22840	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
22841	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
22842	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
22843	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
22844	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
22845	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
22846	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
22847	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
22848	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
22849	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
22853	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
22854	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
22856	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
22857	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
22858	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
22859	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
22860	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
22861	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
22862	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
22867	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
22868	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
22869	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
22870	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
22899	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
27278	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
27279	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
27280	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
62287	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
62330	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
62331	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
62380	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
63001	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
63003	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
63005	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
63011	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
63012	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
63015	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
63016	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
63017	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
63020	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
63030	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
63032	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
63035	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
63040	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.