Humana prior authorization, page 3

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
34841	Aortic repair	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 8 Original policy
34842	Aortic repair	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 8 Original policy
34843	Aortic repair	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 8 Original policy
34844	Aortic repair	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 8 Original policy
34845	Aortic repair	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 8 Original policy
34846	Aortic repair	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 8 Original policy
34847	Aortic repair	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 8 Original policy
34848	Aortic repair	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 8 Original policy
0994T	Aortic repair	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 8 Original policy
0995T	Aortic repair	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 8 Original policy
33206	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33207	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33208	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33212	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33213	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33214	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33216	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33217	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33221	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33224	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33225	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33227	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33228	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33229	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33230	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33231	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33233	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33234	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33235	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33240	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33241	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33244	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33249	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33262	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33263	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33264	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33270	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33271	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33272	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33273	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33274	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33275	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33289	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
33340	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
93264	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
0408T	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
0409T	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
0410T	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
0411T	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 Original policy
0412T	Cardiac implantable devices (e.g., CardioMEMS pacemakers, leadless pacemakers, left atrial appendage closure [LAAC], defibrillators [implantable and subcutaneous] and cardiac resynchronization therapy)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 9 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.

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