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Find out if a procedure or service requires prior approval by Aetna for commercial plans. Enter one or more 5-digit CPT codes or use the precertification lists for behavioral health and 2024 updates.
A tool to check if prior authorization is required for CPT or HCPCS codes for Aetna Better Health participating providers. Enter up to six codes or a CPT group and see the search results with definitions and exceptions.
The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT ®), copyright 2023 by the American Medical Association (AMA). CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and ...
With our user-friendly Aetna CPT Code lookup tool, healthcare professionals can quickly and easily search for specific codes, whether it be a keyword, code number, or description. This streamlines the code lookup process, saving valuable time and improving billing accuracy.
Learn how to request precertification and referral for services that require Utilization Management review. Use the precertification code search tool to find out if a CPT or HCPCS code requires precertification.
A comprehensive guide for health care professionals who work with Aetna. Find information on eligibility, benefits, claims, coding, audits, and more.
Learn how to use the Precertification Code Search Tool to find out if a procedure requires precertification and what information to submit for electronic requests or notifications. The tool accepts CPT or HCPCS codes and provides precertification process details.
Find CPT codes for medical services and procedures with Codify by AAPC, a tool that helps you avoid denials and improve productivity. Search by keyword, range, or code, and get crosswalks, NCCI edit, and more.
Learn how to get prior authorization for certain medical procedures, tests and prescriptions that Aetna requires. Find out what to do before and after your doctor submits a request, and how to check your plan's rules and status.
Learn what prior authorization is, when you need it, and how to get it for services and medicines covered by Aetna plans. Download the PDF document to see the lists of services and medicines that require prior authorization in 2022.