Humana prior authorization, page 30

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
44135	Transplant surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
47133	Transplant surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
47135	Transplant surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
48160	Transplant surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
48550	Transplant surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
48554	Transplant surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
48556	Transplant surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
50300	Transplant surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
50320	Transplant surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
50340	Transplant surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
50360	Transplant surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
50365	Transplant surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
50370	Transplant surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
50547	Transplant surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
0584T	Transplant surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
0585T	Transplant surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
0586T	Transplant surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
G0341	Transplant surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
G0342	Transplant surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
G0343	Transplant surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
L8698	Transplant surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
02WA3QZ	Transplant surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
02WA4QZ	Transplant surgeries	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
36465	Varicose vein: surgical treatment and sclerotherapy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
36466	Varicose vein: surgical treatment and sclerotherapy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
36468	Varicose vein: surgical treatment and sclerotherapy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
36470	Varicose vein: surgical treatment and sclerotherapy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
36471	Varicose vein: surgical treatment and sclerotherapy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
36473	Varicose vein: surgical treatment and sclerotherapy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
36474	Varicose vein: surgical treatment and sclerotherapy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
36475	Varicose vein: surgical treatment and sclerotherapy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
36476	Varicose vein: surgical treatment and sclerotherapy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
36478	Varicose vein: surgical treatment and sclerotherapy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
36479	Varicose vein: surgical treatment and sclerotherapy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
36482	Varicose vein: surgical treatment and sclerotherapy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
36483	Varicose vein: surgical treatment and sclerotherapy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
37700	Varicose vein: surgical treatment and sclerotherapy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
37718	Varicose vein: surgical treatment and sclerotherapy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
37722	Varicose vein: surgical treatment and sclerotherapy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
37735	Varicose vein: surgical treatment and sclerotherapy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
37760	Varicose vein: surgical treatment and sclerotherapy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
37761	Varicose vein: surgical treatment and sclerotherapy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
37765	Varicose vein: surgical treatment and sclerotherapy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
37766	Varicose vein: surgical treatment and sclerotherapy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
37780	Varicose vein: surgical treatment and sclerotherapy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
37785	Varicose vein: surgical treatment and sclerotherapy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
0524T	Varicose vein: surgical treatment and sclerotherapy	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
33990	Percutaneous ventricular assist devices (VADs)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
33991	Percutaneous ventricular assist devices (VADs)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
33995	Percutaneous ventricular assist devices (VADs)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 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.