Aetna Osseointegrated Implant prior authorization requirements (2026)
What Aetna generally requires to approve Osseointegrated Implant (CPT 69714, 69716, L8690, L8691, L8692, L8693), for Commercial plans. Yes. Aetna generally requires prior authorization for Osseointegrated Implant (CPT 69714, 69716, L8690, L8691, L8692, L8693).
Medical-necessity criteria Aetna generally applies
For Commercial members, subject to medical necessity review of procedure and site of service
Commonly required documentation
- All medical records requested must be submitted
How to submit
- Method: portal
- Typical turnaround: about 3 days
Source
Elective procedure for Commercial members Last verified 2026-05-06.
Frequently asked questions
Does Aetna require prior authorization for Osseointegrated Implant?
Yes. Aetna generally requires prior authorization for Osseointegrated Implant (CPT 69714, 69716, L8690, L8691, L8692, L8693).
What does Aetna require to approve Osseointegrated Implant?
For Commercial members, subject to medical necessity review of procedure and site of service Always confirm against the current Aetna policy.
How long does a Aetna prior authorization take?
Aetna typically decides Osseointegrated Implant requests in about 3 days. Timeframes vary; check the payer portal.
Submitting Osseointegrated Implant to Aetna?
Praxigen checks your clinical note against these criteria before you submit and drafts a policy-cited appeal if it is denied. You review and submit; nothing is sent automatically.