Aetna Ventricular Assist Devices prior authorization requirements (2026)
What Aetna generally requires to approve Ventricular Assist Devices (CPT 33975, 33978, 33979, 33981, 33990, 33991, 33992, 33993, 92970), for Commercial plans. Yes. Aetna generally requires prior authorization for Ventricular Assist Devices (CPT 33975, 33978, 33979, 33981, 33990, 33991, 33992, 33993, 92970).
Medical-necessity criteria Aetna generally applies
Medical necessity review required
Diagnoses that commonly support medical necessity
ICD-10-CM diagnoses frequently associated with medical necessity for Ventricular Assist Devices. Confirm the covered diagnosis list against the current Aetna policy.
Commonly required documentation
- Complete medical records including cardiac evaluation
How to submit
- Method: portal
- Typical turnaround: about 3 days
Source
Standard precertification process applies Last verified 2026-05-06.
Frequently asked questions
Does Aetna require prior authorization for Ventricular Assist Devices?
Yes. Aetna generally requires prior authorization for Ventricular Assist Devices (CPT 33975, 33978, 33979, 33981, 33990, 33991, 33992, 33993, 92970).
What does Aetna require to approve Ventricular Assist Devices?
Medical necessity review required Always confirm against the current Aetna policy.
How long does a Aetna prior authorization take?
Aetna typically decides Ventricular Assist Devices requests in about 3 days. Timeframes vary; check the payer portal.
Submitting Ventricular Assist Devices 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.