If you are cpt code 58571 registered user with our secure provider website, click here to submit the precertification request electronically: secure provider website. If you are a nonparticipating physician, hospital or other health care professional, the member's plan may require that these services be precertified. Note: If your request is for a drug that requires precertification and you are a registered NaviNet user, please use the Drug Authorizations online form. The form can be found on the NaviNet home page under Services. Precertification is required for Medicare Advantage members after the 60th consecutive day of treatment. Precertification is not required for members enrolled in commercial plans. If you are a registered NaviNet user, you can submit the precertification request electronically. If you are a nonparticipating physician, hospital or other health care professional, the member's plan may require that these services be precertified. Check below for the appropriate contact information. Precertification may not apply to all areas or products available within the state. Please contact the vendor for details. Please contact Orthonet at for further instructions. Do not submit a precertification request to Aetna. For Delaware, New Jersey, New York, Pennsylvania, and West Virginia members, the code you entered requires medical review when services are rendered on an outpatient basis. Please contact National Imaging Associates at for further instructions. Do not submit a precertification request to Aetna. For all other states, this procedure was not found on the Aetna Participating Provider Precertification List; therefore, no precertification is required. If you are a nonparticipating physician, hospital or other health care professional, the member's plan may require that these services be precertified. Please contact National Imaging Associates at for further instructions. Do not submit a precertification request to Aetna. For all other states, this procedure was not found on the Aetna Participating Provider Precertification List; therefore, no precertification is required. If you are a nonparticipating physician, hospital or other health care professional, the member's plan may require that these services be precertified. Please contact Orthonet at for further instructions. Do not submit a precertification request to Aetna. For all other states, this procedure was not found on the Aetna Participating Provider Precertification List; therefore, no precertification is required. If you cpt code 58571 a nonparticipating physician, hospital or other health care professional, the member's plan may require that these services be precertified. To expedite your request, fax the Specialty Medication Form to. You may also call to speak with a representative. Do not submit your precertification request to the Aetna Medical Precertification area. If you are a nonparticipating physician, hospital or other health care professional, the member's plan may require that these services be precertified. Note: If your request is for a drug that requires precertification and you are a registered NaviNet user; please use the Drug Authorizations online form. The form can be found on the NaviNet home page under Services. Precertification is required for members with a commercial plan; precertification may be required for Medicare Advantage members. Please call for further instructions. Please call for further precertification instructions. If this service is not transplant related, precertification is required for members with a commercial plan; precertification may be required for Medicare Advantage members. If you are a registered user with NaviNet, you can submit the precertification request electronically. If you are a nonparticipating physician, hospital or other health care professional, the member's plan may require that these services be precertified. Check below for the appropriate contact information. Precertification may not apply to all areas or products available within the state. Please contact the vendor for details. Check below for the appropriate contact information. Precertification may not apply to all areas or products available within the state. Please contact the vendor for details. Precertification is required for members with a commercial plan; precertification may be required for Medicare Advantage members. If you are a registered user with our secure provider website, click here to submit the precertification request electronically: secure provider website. If you are a nonparticipating physician, hospital or other cpt code 58571 care professional, the member's plan may require that these services be precertified. Note: If your request is for a drug that requires precertification and you are a registered NaviNet user, please use the Drug Authorizations online form. The form can be found on the NaviNet home page under Services. NaviNet users can submit a precert request online. If you are a nonparticipating physician, hospital or other health care professional, the member's plan may require that these services be precertified. If you are a nonparticipating physician, hospital or other health care professional, the member's plan may require that these services be precertified. Check below for the appropriate contact information. Precertification may not apply to all areas or products available within the state. Please contact the vendor for details. This procedure code may require precertification for behavioral health diagnoses. Cpt code 58571 our Clinical Policy Bulletins to determine if limitations apply. Need assistance or more information. Not all plans are offered in all service areas. Visit the secure website, available through www. State Street, Chicago, Illinois 60610. Applications are available at the American Medical Association Web site, www. Disclaimer of Warranties and Liabilities. The responsibility for the content of this product is with Aetna, Inc. This Agreement will terminate upon notice if you violate its terms. The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services. This information is neither an offer of coverage nor medical advice. It is only a partial, general description of plan or program benefits and does not constitute a contract. In case of a conflict between your plan documents and this information, the plan documents will govern.