Cigna policy
Blepharoplasty, Reconstructive Eyelid Surgery, and Brow Lift
Blepharoplasty, Reconstructive Eyelid Surgery, and Brow Lift is a public Cigna policy (policy 0045, effective Jun 15, 2026). It lists 12 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Payer
- Cigna
- Policy number
- 0045
- Effective
- Jun 15, 2026
- Line of business
- Commercial
- Source
- static.cigna.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes. Open official prior authorization lists to check the member’s product.
| Code | Other Cigna policies |
|---|---|
| 15820 | Policies naming 15820 |
| 15821 | Policies naming 15821 |
| 15822 | Policies naming 15822 |
| 15823 | Policies naming 15823 |
| 67900 | Policies naming 67900 |
| 67901 | Policies naming 67901 |
| 67902 | Policies naming 67902 |
| 67903 | Policies naming 67903 |
| 67904 | Policies naming 67904 |
| 67906 | Policies naming 67906 |
| 67908 | Policies naming 67908 |
| 67911 | Policies naming 67911 |