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.
2015 Participating Provider Precertification List - Effective date: July 1, 2015
Note: Updated list posted July 15, 2015. Skilled Nursing Facility precertification was inadvertently not showing on the list posted July 1, 2015.
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.