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See our precertification lists or utilize our cpt code lookup to see whether a procedure or service requires prior approval For more information about prior authorization, please review your provider manual Participating providers can now check for codes that require prior authorization via our online prior authorization search tool
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Welcome to our comprehensive aetna cpt code lookup tool, designed to simplify the process of finding billing codes for healthcare professionals To request an authorization, find out what services require authorization, or to check on the status of an authorization, please visit our portal page Commercial and medicare providers can use aetna’s code edit lookup tools (available under the applications tab) to verify if specific claim edits apply
Get information about aetna’s precertification requirements, including precertification lists and criteria for patient insurance preauthorization.
Enter the procedure code and the provider's fee schedule id (fsid) This plan is not insurance Providers can verify whether a cpt® code requires precertification by using the “search by cpt® code” tool on the npl page For specialty drug precertification requests for commercial and medicare members, providers should submit through novologix, also available via availity.
