Cigna policy
Gastric Pacing/Gastric Electrical Stimulation (GES)
Gastric Pacing/Gastric Electrical Stimulation (GES) is a public Cigna policy (policy 0103, effective Nov 15, 2025). It lists 9 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
- 0103
- 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 |
|---|---|
| 43659 | Policies naming 43659 |
| 43881 | Policies naming 43881 |
| 43999 | Policies naming 43999 |
| 64590 | Policies naming 64590 |
| C1767 | Policies naming C1767 |
| C1778 | Policies naming C1778 |
| L8679 | Policies naming L8679 |
| L8680 | Policies naming L8680 |
| L8688 | Policies naming L8688 |