Enter the CPT/HCPCS code. If you have a member who needs one or more of these services, please contact Member Services at 1‑866‑600-2139 for more information. Aetna National Code List. Precertification – Health Care Professionals. Prior Authorization Forms. CPT® Code Description Cardiac: 78451 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall scan: CPT® Code - Effective 6/29/2020 Code is out of scope for Aetna US Steel PPO CT. Discover the Aetna result. 6 percent of claims within 10 business days. ProPAT CPT Code Lookup : Aetna Better Health of Maryland. Aetna Better Health Participating Provider Prior Authorization Requirement Search Tool Participating Providers: To determine if prior authorization (PA) is required, enter up to six Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes or a CPT group and select SEARCH. You can access Aetna Voice Advantage ® by calling our Provider Service telephone numbers: For HMO plans and Medicare Advantage plans, call 1-800-624-0756 For all other plans, call 1-888-MDAetna ( 1-888-632-3862). For Providers Provider Pre-Authorization Tool What’s New/Provider Bulletins Join our Network Provider Manuals Guidelines Pharmacy Members Rights & Responsibilities Grievance & Appeals. Medicare Advantage Plans covers Annual Wellness Visit in. The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT ®), copyright 2022 by the American Medical Association (AMA). 5), Partial Hospitalization Program (PHP) (ASAM Level 2. Missoula, MT 59806-3018 Toll Free: 800-877-1122. The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT®), copyright 2015 by the American Medical Association (AMA). Participating Provider Prior Authorization Requirement Search Tool Participating Providers: To determine if prior authorization (PA) is required, enter up to six Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes or a CPT group and select SEARCH. We maintain and annually update a List of Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS) Codes (the Code List),. CODE BENEFIT LOOKUP INSTRUCTIONS. 5), Intensive Outpatient Program (IOP) (ASAM Level 2. PROCEDURE CODE BENEFIT LOOKUP INSTRUCTIONS. ProPAT CPT Code Lookup : Aetna Better Health Premier Plan. Quest Diagnostics>Billing & coding. Aetna Better Health ® of Illinois. For prescribers single, for challenges regarding prior authorization, or to initiate prior entitlement requests, call: 1-866-316-3784. View Medicare Coverage & Benefits. If you do not intend for leave our web, ask press End. CareSource / Procedure Code Lookup Complete Steps 1 Choose Line of Business Disclaimer CareSource does not represent or warrant, whether expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose the results of the Procedure Code Prior Authorization Lookup Tool (“Results”). This tool also helps to determine if a special program applies. To read more about the MPFS search tool, go to the MLN® booklet, How to Use. Sterilization – Signed consent form must be completed. Your team already has to keep track of thousands of CPT codes on a daily basis. For more information about prior authorization, please review the Provider Manual. Next steps after a PA request Incomplete PA requests HHSC UMCM 3. We’re pleased to provide Medicare Coverage and Coding Reference Guides to help you more easily determine test coverage and find ICD-10 diagnosis codes to submit with your test order. To start your search, go to the Medicare Physician Fee Schedule Look-up Tool. Aetna>Member Payment Estimator. Box 3018 Missoula, MT 59806-3018 Toll Free: 800-877-1122 Local: 406-721-2222 [email protected]. com - Coding Forum Q&A CPT Codes DRGs & APCs DRG Grouper E/M Guidelines HCPCS Codes HCC Coding, Risk Adjustment ICD-10-CM Diagnosis Codes ICD-10-PCS Procedure Codes Medicare Guidelines NCCI Edits Validator NDC National Drug Codes NPI Look-Up. Local: 406-721-2222 [email protected]. Office consultation codes payment update. Meritain Health Cpt Code Lookup. CPT Codes for Psychology (Non-E/M) 90791 – Psychiatric Diagnostic Examination without medical services 90832 – Individual psychotherapy (time range 16 – 37 minutes) 90834 – Individual. Use order code 123AET200. CPT Codes: Cheat Sheet>2023 Telehealth CPT Codes: Cheat Sheet. The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT®), copyright 2015 by the American Medical Association (AMA). PRE-TREATMENT REVIEW CPT SEARCH TOOL. 2023 Telehealth CPT Codes: Cheat Sheet. Submit Feedback/Ask a Question. You can use the same steps to look up bundled codes. Aetna Better Health Participating Provider Prior Authorization Requirement Search Tool Participating Providers: To determine if prior authorization (PA) is required, enter up to six Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes or a CPT group and select SEARCH. What information does a procedure code lookup include? When you perform a procedure code lookup, you are able to view the patient’s: Deductible and remaining deductible Maximums Coinsurance and copayment Frequencies and limitations, when applicable Precertification requirement. For more information about prior authorization, please review the Provider Manual. Skip to main content Wichtig Sailing Detect an Provider / Pharmacy AN- Decrease the font size in the View. See our precertification lists conversely utilize our CPT codes lookup to see whether a procedure or service requires prior approval. CPT® Codes Lookup. On the Medicare Coverage Database (MCD) you can use CPT/HCPCS codes to search for documents. Visit the Provider Portal By fax Complete the Texas standard prior authorization request form (PDF). The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT®), copyright 2015 by the American Medical Association (AMA). Prompt claims payment Youll benefit from our commitment to service excellence. We’re pleased to provide Medicare Coverage and Coding Reference Guides to help you more easily determine test coverage and find ICD-10 diagnosis codes to submit with your test order. To find out what services require authorization or check on the status of an authorization on the provider portal, please visit our provider secure web portal. gov Public Comments Please Note: There are currently no National Coverage Documents open for public comment. (3 days ago) Web00100-01999 10004-69990 70010-79999 80047-89398 90281-99607 99091-99499 0001F-9007F 0002M-0018M 0042T-0783T 0001U-0386U CPT ® Modifiers CODE RANGE CPT. Third Party Claim and Code Review Program. com Or you may call eviCore at 1-888-693-3211 or fax 1-844-822-3862. CPT® Codes Lookup. Contact your payers billing department and ask them to help you with the CPT codes. Less red tape means more peace of mind for you. 00100-01999 10004-69990 70010-79999 80047-89398 90281-99607 99091-99499 0001F-9007F 0002M-0018M 0042T-0783T 0001U-0386U CPT ® Modifiers CODE RANGE CPT ® SECTIONS 00100-01999 Anesthesia 10004-69990 Surgery 70010-79999 Radiology Procedures 80047-89398 Pathology and Laboratory Procedures 90281-99607 Medicine Services and Procedures 99091-99499. Current Procedural Terminology, more commonly known as CPT®, refers to a medical code set created and maintained by the American Medical Association — and used by physicians, allied health professionals, nonphysician practitioners, hospitals, outpatient facilities, and laboratories to represent the services and procedures they perform. For Dental Services, please contact Maryland Department of Health. Corporate Headquarters 2806 S. ? show results for check all / uncheck all ICD-10-CM ICD-10-PCS ICD-9-CM Vol 1,2 ICD-9-CM Vol 3 CPT® Modifiers (CPT®/HCPCS) HCPCS Hospital/Facility Newsletters ABC Medicare Information Dictionary Notes & Keywords switch to expanded search. How much Aetna will pay How much youll save thanks to Aetna’s negotiated rates You will find prices for hundreds of common procedures. MASTER PRECERTIFICATION LIST. Then, for Physical Health fax it to us at 1-877-779-5234 or for Behavioral Health fax it to 1-844-528-3453 with any supporting documentation for a medical necessity review. Complete the Texas standard prior authorization request form (PDF). This tool provides fee information for a sample scope of services that a doctor can provide. On the Medicare Coverage Database (MCD) you can use CPT/HCPCS codes to search for documents. Health benefits and health insurance plans contain exclusions and limitations. You’ll see how much the patient pays with Original Medicare and no supplement (Medigap) policy. ChiroCode. Yes CT 70450 Computed tomography, head or brain; without contrast material Yes Yes 70450, 70460, 70470 CT 70460 Computed tomography, head or brain; with contrast material(s) Yes Yes 70450, 70460, 70470 CT 70470 Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections Yes Yes. Then, fax the form to 1-866-835-9589. The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT ®), copyright 2022 by the American Medical Association (AMA). Find-A-Code Comprehensive Search Thank you for choosing Find-A-Code, please Sign In to remove ads. Prior Authorization Forms / Precertification lists / CPT code lookup / Aetna View and download provider related prior authorization information at Aetna Better Health of Michigan. Then, fax it to us at 1-844-797-7601. Authorizations/Precertifications. 00100-01999 10004-69990 70010-79999 80047-89398 90281-99607 99091-99499 0001F-9007F 0002M-0018M 0042T-0783T 0001U-0386U CPT ® Modifiers CODE RANGE CPT ® SECTIONS 00100-01999 Anesthesia 10004-69990 Surgery 70010-79999 Radiology Procedures 80047-89398 Pathology and Laboratory Procedures 90281-99607 Medicine Services and Procedures 99091-99499. Be sure to add any supporting materials for the review. Code 1 Code 2 Code 3 Code 4 Code 5 Submit More resources for you Legal notices. Below you will find the Code List that is effective January 1, 2023 and a description of the revisions effective for Calendar Year 2023. Physician Fee Schedule Look-Up Tool Physician Fee Schedule Look-Up Tool To start your search, go to the Medicare Physician Fee Schedule Look-up Tool. The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT ®), copyright 2022 by the American Medical Association (AMA). Authorizations for HDHP, Standard and High Option members Take me to Authorizations for HDHP, Standard and High. Cost Estimator & Fee Schedules – Health Care. CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and. Cost Estimator & Fee Schedules – Health Care Professionals. Visit the Provider Portal By phone Ask for PA by calling us at 1-855-232-3596 (TTY: 711). Concurrent review (treatment and review). Best viewed in Microsoft Internet Explorer 6 and higher, resolution 1280x800. The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT ®), copyright 2022 by the American Medical Association (AMA). CareSource / Procedure Code Lookup Complete Steps 1 Choose Line of Business Disclaimer CareSource does not represent or warrant, whether expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose the results of the Procedure Code Prior Authorization Lookup Tool (“Results”). Contact your healthcare providers office and ask them to help you match the CPT codes and services. Allegiance Life & Health Insurance Company, Inc. Page Last Modified: 04/05/2023 12:03 PM. Thou live now leaving Aetna Better Well-being of Michigan’s website. CPT Part 3 - Contains CPT Codes 50010 - 79999 - CSV. Aetna Cpt Code Look UpOnline Provider Authorization Search Tool To determine if prior authorization (PA) is required for services use the online provider authorization search tool. CPT is developed by the AMA as a listing of. ProPAT CPT Code Lookup : Aetna Better Health of Louisiana. Please submit your prior authorization request directly to eviCore at www. Best viewed in Microsoft Internet Explorer 6 and higher, resolution 1280x800. Compare national average prices for procedures done in both ambulatory surgical centers and hospital outpatient departments. To find out what services require authorization or check on the status of an authorization on the provider portal, please visit our provider secure web portal. We maintain and annually update a List of Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS) Codes (the Code List), which identifies all the items and services included within certain designated health services (DHS) categories or that may qualify for certain exceptions. CPT Codes: What They Are and Uses. (Note: Sometimes an EOB or MSN may display the CPT/HCPCS code with an associated modifier, which is represented by a dash and two characters. Aetna Better Health Participating Provider Prior Authorization Requirement Search Tool Participating Providers: To determine if prior authorization (PA) is required, enter up to. CPT Code Search>Allegiance. Prompt claims payment You’ll benefit from our commitment to service excellence. Procedure Price Lookup Planning an outpatient procedure? You may have options for where you have your outpatient procedure. By fax Download our PA request form. Contracted physicians can access fee schedules online on our secure provider website. CPT Code Lookup : Aetna Better Health Premier Plan>ProPAT CPT Code Lookup : Aetna Better Health Premier Plan. ICD Code Lists The ICD-9 and ICD-10 valid and excluded diagnosis codes for the latest fiscal year are made available to non-group health plan (NGHP) responsible reporting entities (RREs) and agents for Section 111 liability insurance (including self-insurance), no-fault, and workers’ compensation mandatory reporting. You can search by a CPT code or use a keyword to see what the code for a service might be. CPT is developed by the AMA as a listing of descriptive terms and five-character identifying codes and modifiers for reporting medical services and procedures performed by physicians. CPT® Codes Lookup Current Procedural Terminology, more commonly known as CPT®, refers to a medical code set created and maintained by the American. ICD Code Lists The ICD-9 and ICD-10 valid and excluded diagnosis codes for the latest fiscal year are made available to non-group health plan (NGHP) responsible reporting entities (RREs) and agents for Section 111 liability insurance (including self-insurance), no-fault, and workers’ compensation mandatory reporting. Aetna>Electronic transaction tools. Search by CPT code Use our search tool to see if precertification is required. Procedure Price Lookup Planning an outpatient procedure? You may have options for where you have your outpatient procedure. The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT®), copyright 2015 by the American Medical Association (AMA). CPT® Code Description Heart Catheterization: 93459 Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s). Electronic transaction tools. Complete the Texas standard prior authorization request form (PDF). Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). This tool provides fee information for a sample scope of services that a doctor can provide. And the Member Payment Estimator tells you where in your area - and in your network -- you can find these services. And our payment, financial and procedural accuracy is above 99 percent. CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and. ICD-10-CM Codes - CPT Codes - HCPCS Codes - ICD-10-PCS Codes - Online Encoder Tabular Index Search Code Crosswalks CCI Validator NPI Lookup save time instant lookup for accurate and timely answers all your trusted resources in one place authoritative answers for denial management save money resolve tough denial issues to collect more. How to use our Pre-Treatment Review CPT Search Tool: Provider Flyer. By fax Download our PA request form (PDF). With the new batch of telehealth CPT codes added to the mix, things can easily get very complicated for your team. Looking for health care providers and services? Find a health care provider on medicare. List of codes effective January 1, 2023, published December 1, 2022; Annual Update to the List of CPT/HCPCS Codes Effective January 1, 2023, published December 1, 2022. Allegiance Advantage Allegiance COBRA Services, Inc. 2023 Annual Update to the Code List. Enter the CPT/HCPCS code. FSA: What is the Difference Between Them?. By doing so, you can ensure your Medicare patients’ lab tests are performed without delay and prevent disruptions to your office. Avoid by: Training your team on the types of codes, processes, and all things reimbursement. Visit medicare. Search result definitions:. Search and Lookup: ICD 10 Codes, CPT Codes, HCPCS Codes, ICD. See our precertification lists conversely utilize our CPT codes lookup to see whether a procedure or service requires prior approval. Medicaid limited coverage policies. The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT®), copyright 2015 by the American Medical. For more information about prior authorization, please review the Provider Manual. The preventive diagnosis codes that are not covered are: V03. Preventive CPT Codes are 99381-99397, 99401-99404, 99201-99205 and 99211-99215 with primary diagnosis of preventive. Aetna Better Health Premier Plan MMAI works with certain subcontractors to coordinate services that are provided by entities other than the health plan, such as transportation, vision or dental services. Yes CT 70450 Computed tomography, head or brain; without contrast material Yes Yes 70450, 70460, 70470 CT 70460 Computed tomography, head or brain; with contrast material(s) Yes Yes 70450, 70460, 70470 CT 70470 Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections Yes Yes. Physician Fee Schedule Look-Up Tool. * Fees displayed are based on contracted amounts negotiated for specified treatments. We maintain and annually update a List of Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS) Codes (the Code List), which identifies all the items and services included within certain designated health services (DHS) categories or that may qualify for certain exceptions. To read more about the MPFS search tool, go to the MLN® booklet, How to Use The Searchable Medicare Physician Fee Schedule Booklet (PDF). To read more about the MPFS search tool, go to the MLN® booklet, How to Use The Searchable Medicare Physician Fee Schedule Booklet (PDF). Medicare Resources for Health Care Providers. Participating Provider Prior Authorization Requirement Search Tool Participating Providers: To determine if prior authorization (PA) is required, enter up to six Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes or a CPT group and select SEARCH. You are abandon our website real going at a non Medicare-Medicaid Plan website. Find other phone numbers or send us a question online Legal notices. Procedure Fee Files & CPT Codes. Medicare Part D: Individual Medicare Prescription Drug (PDP) and MAPD plans cover diabetic supplies under Part D, including: Alcohol swabs and 2x2 gauze. CPT Part 4 - Contains CPT. Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). If you have any questions about authorization requirements or need help with the search tool, contact Aetna Better Health 1-855-242-0802. com Allegiance Benefit Plan Management, Inc. How to use our Pre-Treatment Review CPT Search Tool: Provider Flyer. Visit the Provider Portal By phone Ask for PA by calling us at 1-855-242-0802 (TTY: 711). Authorization Search Tool. The Power of Psychotherapy: Most common service CPT code 90834. Cost Estimator & Fee Schedules. The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT®), copyright 2015 by the American Medical Association (AMA). How much Aetna will pay How much youll save thanks to Aetna’s negotiated rates You will find prices for hundreds of common procedures. Here are the ways you can request PA: Online Ask for PA through our Provider Portal. CPT Part 3 - Contains CPT Codes 50010 - 79999 - TXT. Online Ask for PA through our Provider Portal. The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT®), copyright 2022 by the American Medical Association (AMA). ICD-10-CM Codes - CPT Codes - HCPCS Codes - ICD-10-PCS Codes - Online Encoder Tabular Index Search Code Crosswalks CCI Validator NPI Lookup save time instant lookup for accurate and timely answers all your trusted resources in one place authoritative answers for denial management save money resolve tough denial issues to collect more. CPT Part 1 - Contains CPT Codes 0001F - 29999 - TXT. For more info about your no-cost OneTouch BGM for Aetna ® Medicare plan members, you can visit us online or call 1-877-764-5390 ${tty} without a prescription. Prior authorization Code check Check Note: We review all non-specific and unlisted codes for medical necessity, even if they dont specifically relate to a medical policy. Results will return Billing and Coding Articles or other documents that include the specified code. gov for beneficiary-specific information or call 1-800-MEDICARE for other questions. gov>Procedure Price Lookup for Outpatient Services. Best viewed in Microsoft Internet Explorer 6 and higher, resolution 1280x800. Procedure Price Lookup for Outpatient Services. The five character codes included in the Aetna Clinical Policy Bulletins (CPBs) are obtained from Current Procedural Terminology (CPT®), copyright 2015 by the. Your team already has to keep track of thousands of CPT codes on a daily basis. CPT Part 2 - Contains CPT Codes 3000F - 49999 - CSV. You must be registered for the Provider Web Portal in order to have access. To start your search, go to the Medicare Physician Fee Schedule Look-up Tool. We maintain and annually update a List of Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS) Codes (the Code List), which identifies all the items and services included within certain designated health services (DHS) categories or that may qualify for certain exceptions. CPT Code Lookup, CPT® Codes and Search. Then, upload it to the Provider Portal. The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT ®), copyright 2022 by the American Medical Association (AMA). 1) Services provided by Out-of-Network providers are not covered by the plan. Aetna Better Health Participating Provider Prior Authorization Requirement Search Tool Participating Providers: To determine if prior authorization (PA) is required, enter up to six Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes or a CPT group and select SEARCH. You can access Aetna Voice Advantage ® by calling our Provider Service telephone numbers: For HMO plans and Medicare Advantage plans, call 1-800-624-0756 For all other plans, call 1-888-MDAetna ( 1-888-632-3862). Enter a 5-character code (CPT, ADA, or HCPCS) This tool doesnt accept modifiers. Download forms and discovering different resources today. Complete the Texas standard prior authorization request form (PDF). Online Provider Authorization Search Tool To determine if prior authorization (PA) is required for services use the online provider authorization search tool. Master Precertification List. The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT ®), copyright 2022 by the American Medical Association (AMA). Physician Fee Schedule Look. CPT Part 4 - Contains CPT Codes 80002 - 99607 - CSV. ProPAT CPT Code Lookup : Aetna Better Health Health (5 days ago) WebThe five character codes included in the Aetna Medicaid PA Requirement Search Tool are obtained from Current Procedural Terminology (CPT), by the American Medical …. PRE-TREATMENT REVIEW CPT SEARCH TOOL. Enter one or more 5-digit CPT codes. For quick reference, see the GEHA members ID card. Online Provider Authorization Search Tool. If CMS has a published MUE for the CPT/HCPCS code, the following will display: Effective date of the quarterly edits selected The MUE value (the maximum unit of service reported under normal circumstances) MUE Adjudication Indicator (MAI) (the type of MUE) MUE Rationale (the underlying basis for each MUE). Prompt claims payment You’ll benefit from our commitment to service excellence. CPT Part 2 - Contains CPT Codes 3000F - 49999 - TXT. We’re pleased to provide Medicare Coverage and Coding Reference Guides to help you more easily determine test coverage and find ICD-10 diagnosis codes to submit with your test order. Physician Fee Schedule Look-Up Tool Physician Fee Schedule Look-Up Tool To start your search, go to the Medicare Physician Fee Schedule Look-up Tool. com for Chiropractors CMS 1500 Claim Form Code-A-Note - Computer Assisted Coding Codapedia. CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and. CPT Part 2 - Contains CPT Codes 3000F - 49999 - CSV. You can request prior authorization by calling us at 1-866-329-4701 (TTY: 711). The following Substance Use disorder services require Notification of Admission within 1-Business Day: Residential Treatment services (ASAM Level 3. CPT Code Lookup, CPT® Codes and Search - Codify by. Complete/PHS+ - The most comprehensive care management model that includes all the components of our Preferred level, plus. By fax Download our prior authorization form. Current Procedural Terminology, more commonly known as CPT®, refers to a medical code set created and maintained by the American Medical Association — and used by physicians, allied health professionals, nonphysician practitioners, hospitals, outpatient facilities, and laboratories to represent the services. Help with File Formats and Plug-Ins. Online Provider Authorization Search Tool To determine if prior authorization (PA) is required for services use the online provider authorization search tool. Allegiance Benefit Plan Management, Inc. ProPAT CPT Code Lookup : Aetna Better Health. What information does a procedure code lookup include? When you perform a procedure code lookup, you are able to view the patient’s: Deductible and remaining deductible Maximums Coinsurance and copayment Frequencies and limitations, when applicable Precertification requirement.