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Search by CPT code Use our search tool to see if precertification is required. Enter one or more 5-digit CPT codes. This tool also helps to determine if a special program applies.
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.
Our Aetna CPT Code lookup tool is designed with simplicity in mind, making it easy for healthcare professionals to find the codes they need. The interface allows users to search by keyword, code number, or description, providing multiple options to streamline the code lookup process.
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.
The PFS Look-Up Tool helps you find Medicare payment amounts for each code so you can calculate the patient coinsurance amount. The PFS gives the limiting charge for nonparticipating providers and suppliers who treat Medicare patients.
Coding and billing tools for ICD-10-CM/PCS, CPT, HCPCS. Search tools, index look-up, tips, articles and more for medical and health care code sets.
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 ...
You can also find out if a service needs PA by using ProPAT, our online PA search tool.
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 ...
Prior authorization (PA) is required for acute outpatient services and planned hospital admissions. We don’t require PA for emergency care. You can find out if a service needs PA by using ProPAT, our online prior authorization search tool. Search ProPAT.