Precertification Lists
Precertification information
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.
2020 Participating Provider Precertification List – Effective date: November 1, 2020.
Behavioral Health Precertification List – Effective date: January 1, 2019.
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.
For Aetna’s commercial plans, there is no precertification required for buprenorphine products to treat opioid addiction.
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 1-877-480-4161.
