Cigna policy

E&M1 CODES NOT REIMBURSABLE ON OUTPATIENT FACILITY CLAIMS

E&M1 CODES NOT REIMBURSABLE ON OUTPATIENT FACILITY CLAIMS is a public Cigna policy (policy R12, effective Jul 15, 2019). It lists 95 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

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Payer
Cigna
Policy number
R12
Effective
Jul 15, 2019
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
99201Policies naming 99201
99202Policies naming 99202
99203Policies naming 99203
99204Policies naming 99204
99205Policies naming 99205
99211Policies naming 99211
99212Policies naming 99212
99213Policies naming 99213
99214Policies naming 99214
99215Policies naming 99215
99221Policies naming 99221
99222Policies naming 99222
99223Policies naming 99223
99238Policies naming 99238
99239Policies naming 99239
99241Policies naming 99241
99242Policies naming 99242
99243Policies naming 99243
99244Policies naming 99244
99245Policies naming 99245
99251Policies naming 99251
99252Policies naming 99252
99253Policies naming 99253
99254Policies naming 99254
99255Policies naming 99255
99291Policies naming 99291
99292Policies naming 99292
99304Policies naming 99304
99305Policies naming 99305
99306Policies naming 99306
99307Policies naming 99307
99308Policies naming 99308
99309Policies naming 99309
99310Policies naming 99310
99315Policies naming 99315
99316Policies naming 99316
99318Policies naming 99318
99324Policies naming 99324
99325Policies naming 99325
99326Policies naming 99326
99327Policies naming 99327
99328Policies naming 99328
99334Policies naming 99334
99335Policies naming 99335
99336Policies naming 99336
99337Policies naming 99337
99339Policies naming 99339
99340Policies naming 99340
99381Policies naming 99381
99382Policies naming 99382
99383Policies naming 99383
99384Policies naming 99384
99385Policies naming 99385
99386Policies naming 99386
99387Policies naming 99387
99391Policies naming 99391
99392Policies naming 99392
99393Policies naming 99393
99394Policies naming 99394
99395Policies naming 99395
99396Policies naming 99396
99397Policies naming 99397
99401Policies naming 99401
99402Policies naming 99402
99403Policies naming 99403
99404Policies naming 99404
99429Policies naming 99429
99450Policies naming 99450
99455Policies naming 99455
99456Policies naming 99456
99460Policies naming 99460
99461Policies naming 99461
99462Policies naming 99462
99463Policies naming 99463
99464Policies naming 99464
99465Policies naming 99465
99466Policies naming 99466
99467Policies naming 99467
99468Policies naming 99468
99469Policies naming 99469
99471Policies naming 99471
99472Policies naming 99472
99475Policies naming 99475
99476Policies naming 99476
99477Policies naming 99477
99478Policies naming 99478
99479Policies naming 99479
99480Policies naming 99480
99499Policies naming 99499
G0402Policies naming G0402
G0425Policies naming G0425
G0426Policies naming G0426
G0438Policies naming G0438
G0439Policies naming G0439
G0463Policies naming G0463

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.