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.

2015 Participating Provider Precertification List - Effective date: May 1, 2015
Behavioral Health Precertification List  
Radiology Precertification (state, product, vendor list)

Providers may use the following form to submit non-emergent precertification requests for higher benefits for non-participating provider services:

Precertification Request Form for Non-Participating Providers

Search by CPT code

The Precertification Lists Results is temporarily unavailable.  Please check back later.

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.

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