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See our precertification lists or utilize our CPT code lookup to see whether a procedure or service requires prior approval. Discover the Aetna difference.
Participating Providers: To determine if prior authorization (PA) is required, enter up to six Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes or a CPT group and select SEARCH.
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 ...
37253. Aetna® is partnering with EviCore to provide their members with access to specific procedures for Peripheral Vascular Disease. Effective for dates of service 9/1/23 and beyond, certain Vascular Intervention procedures will require prior authorization for Aetna Medicare, Commercial Fully-Insured, and Individual & Family (IFP) Plans.
Provider manual Resources, policies and procedures at your fingertips Aetna.com 3302205-01-01 (4/24)
input your procedure code(s) into the tool to see if we require precertification. Request referral for consultation services and treatment with specialists. You can submit requests electronically.
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.
You can find out if a specific procedure requires precertification using our Precertification Code Search Tool.1. The tool is available at www.aetna.com. Under “Quick Links,” select “Check Precertification List.”. The Precertification Code Search Tool: Allows you to enter a valid five-digit CPT or HCPCS code.
Codify by AAPC helps you quickly and accurately select the CPT® codes you need to keep your claims on track. With Codify by AAPC cross-reference tools, you can check common code pairings. You also get CPT to ICD-10-CM , CPT to HCPCS , and CPT to Modifier crosswalks.