Cigna policy

Category III Current Procedural Terminology (CPT®) codes

Category III Current Procedural Terminology (CPT®) codes is a public Cigna policy (policy 0558, effective Sep 15, 2026). It lists 76 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

View the original policy (PDF) ↗

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Payer
Cigna
Policy number
0558
Effective
Sep 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.

CodeOther Cigna policies
0207TPolicies naming 0207T
0338TPolicies naming 0338T
0339TPolicies naming 0339T
0342TPolicies naming 0342T
0351TPolicies naming 0351T
0439TPolicies naming 0439T
0489TPolicies naming 0489T
0525TPolicies naming 0525T
0546TPolicies naming 0546T
0559TPolicies naming 0559T
0560TPolicies naming 0560T
0561TPolicies naming 0561T
0581TPolicies naming 0581T
0582TPolicies naming 0582T
0587TPolicies naming 0587T
0590TPolicies naming 0590T
0600TPolicies naming 0600T
0601TPolicies naming 0601T
0608TPolicies naming 0608T
0620TPolicies naming 0620T
0643TPolicies naming 0643T
0644TPolicies naming 0644T
0647TPolicies naming 0647T
0659TPolicies naming 0659T
0686TPolicies naming 0686T
0689TPolicies naming 0689T
0724TPolicies naming 0724T
0742TPolicies naming 0742T
0794TPolicies naming 0794T
0805TPolicies naming 0805T
0806TPolicies naming 0806T
0807TPolicies naming 0807T
0808TPolicies naming 0808T
0882TPolicies naming 0882T
0883TPolicies naming 0883T
0888TPolicies naming 0888T
0947TPolicies naming 0947T
0956TPolicies naming 0956T
0957TPolicies naming 0957T
0958TPolicies naming 0958T
0959TPolicies naming 0959T
0960TPolicies naming 0960T
0967TPolicies naming 0967T
0968TPolicies naming 0968T
0970TPolicies naming 0970T
0971TPolicies naming 0971T
0977TPolicies naming 0977T
0978TPolicies naming 0978T
0979TPolicies naming 0979T
0980TPolicies naming 0980T
0990TPolicies naming 0990T
0991TPolicies naming 0991T
0994TPolicies naming 0994T
0995TPolicies naming 0995T
0999TPolicies naming 0999T
1000TPolicies naming 1000T
1001TPolicies naming 1001T
1003TPolicies naming 1003T
1030TPolicies naming 1030T
1031TPolicies naming 1031T
1032TPolicies naming 1032T
1033TPolicies naming 1033T
1034TPolicies naming 1034T
1035TPolicies naming 1035T
1037TPolicies naming 1037T
1038TPolicies naming 1038T
1039TPolicies naming 1039T
19105Policies naming 19105
61885Policies naming 61885
61886Policies naming 61886
61888Policies naming 61888
61889Policies naming 61889
76641Policies naming 76641
76642Policies naming 76642
76940Policies naming 76940
76942Policies naming 76942

All Cigna policies · Cigna prior authorization CPT list

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.