Cigna policy
Extracorporeal Shock Wave Therapy (ESWT) for Musculoskeletal Conditions
Extracorporeal Shock Wave Therapy (ESWT) for Musculoskeletal Conditions is a public Cigna policy (policy 0004, effective Nov 15, 2025). It lists 4 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
- 0004
- Effective
- Nov 15, 2025
- 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 |
|---|---|
| 0102T | Policies naming 0102T |
| 20999 | Policies naming 20999 |
| 28890 | Policies naming 28890 |
| 28899 | Policies naming 28899 |