Precertification applies to all benefits plans that include a precertification requirement. Participating providers are required to pursue precertification for procedures and services on the lists below.
2016 Participating Provider Precertification List - Effective date: December 1, 2016
2017 Participating Provider Precertification List - Effective date: January 1, 2017
Behavioral Health Precertification List
Note: If we need to review applicable medical records, we may assign a tracking number to your precertification request. The tracking number does not indicate approval. You will be notified when a coverage decision is made.
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.
Please note that the Aetna Student Health Precertification List is currently under revision. For assistance and information, contact Aetna Student Health Customer Service at 877-480-4161.