Humana prior authorization, page 9

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
C8911	Magnetic resonance angiography (MRA)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 13 Original policy
C8912	Magnetic resonance angiography (MRA)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 13 Original policy
C8913	Magnetic resonance angiography (MRA)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 13 Original policy
C8914	Magnetic resonance angiography (MRA)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 13 Original policy
C8918	Magnetic resonance angiography (MRA)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 13 Original policy
C8919	Magnetic resonance angiography (MRA)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 13 Original policy
C8920	Magnetic resonance angiography (MRA)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 13 Original policy
C8931	Magnetic resonance angiography (MRA)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 13 Original policy
C8932	Magnetic resonance angiography (MRA)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 13 Original policy
C8933	Magnetic resonance angiography (MRA)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 13 Original policy
C8934	Magnetic resonance angiography (MRA)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 13 Original policy
C8935	Magnetic resonance angiography (MRA)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 13 Original policy
C8936	Magnetic resonance angiography (MRA)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 13 Original policy
70336	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
70543	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
70554	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
70555	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
71550	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
71551	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
71552	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
72141	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
72142	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
72146	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
72147	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
72148	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
72149	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
72156	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
72157	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
72158	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
72195	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
72196	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
72197	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
73221	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
73222	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
73223	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
73721	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
73722	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
73723	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
74181	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
74182	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
74183	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
75557	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
75559	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
75561	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
75563	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
77046	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
77047	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
77048	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
77049	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 Original policy
C8903	Magnetic resonance imaging (MRI)	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List, Pg 14 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.