Humana prior authorization, page 31

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
33975	Ventricular assist devices (VADs)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
33976	Ventricular assist devices (VADs)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
33979	Ventricular assist devices (VADs)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
33981	Ventricular assist devices (VADs)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
33982	Ventricular assist devices (VADs)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
33983	Ventricular assist devices (VADs)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
K0606	Wearable Cardioverter Defibrillators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
E2351	Wearable Cardioverter Defibrillators	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
E0986	Wheelchairs/scooters	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
E1002	Wheelchairs/scooters	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
E1003	Wheelchairs/scooters	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
E1004	Wheelchairs/scooters	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
E1005	Wheelchairs/scooters	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
E1006	Wheelchairs/scooters	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
E1007	Wheelchairs/scooters	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
E1008	Wheelchairs/scooters	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
E1009	Wheelchairs/scooters	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
E1010	Wheelchairs/scooters	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
E1012	Wheelchairs/scooters	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
E1161	Wheelchairs/scooters	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
E1220	Wheelchairs/scooters	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
E1234	Wheelchairs/scooters	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 44 Original policy
E1235	Wheelchairs/scooters	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