Cigna policy

Intraoperative Monitoring

Intraoperative Monitoring is a public Cigna policy (policy 0509, effective Sep 15, 2025). It lists 169 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

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Payer
Cigna
Policy number
0509
Effective
Sep 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.

CodeOther Cigna policies
0202TPolicies naming 0202T
0221TPolicies naming 0221T
0274TPolicies naming 0274T
0275TPolicies naming 0275T
0656TPolicies naming 0656T
0657TPolicies naming 0657T
0719TPolicies naming 0719T
0790TPolicies naming 0790T
22015Policies naming 22015
22100Policies naming 22100
22102Policies naming 22102
22110Policies naming 22110
22114Policies naming 22114
22207Policies naming 22207
22210Policies naming 22210
22214Policies naming 22214
22220Policies naming 22220
22224Policies naming 22224
22310Policies naming 22310
22315Policies naming 22315
22325Policies naming 22325
22505Policies naming 22505
22511Policies naming 22511
22514Policies naming 22514
22526Policies naming 22526
22533Policies naming 22533
22548Policies naming 22548
22551Policies naming 22551
22554Policies naming 22554
22558Policies naming 22558
22586Policies naming 22586
22590Policies naming 22590
22595Policies naming 22595
22600Policies naming 22600
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22849Policies naming 22849
22856Policies naming 22856
22857Policies naming 22857
22861Policies naming 22861
22862Policies naming 22862
22864Policies naming 22864
22865Policies naming 22865
22867Policies naming 22867
22869Policies naming 22869
27096Policies naming 27096
27278Policies naming 27278
27279Policies naming 27279
27280Policies naming 27280
51785Policies naming 51785
62267Policies naming 62267
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62269Policies naming 62269
62270Policies naming 62270
62272Policies naming 62272
62273Policies naming 62273
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62287Policies naming 62287
62290Policies naming 62290
62292Policies naming 62292
62302Policies naming 62302
62304Policies naming 62304
62320Policies naming 62320
62321Policies naming 62321
62322Policies naming 62322
62323Policies naming 62323
62324Policies naming 62324
62325Policies naming 62325
62326Policies naming 62326
62327Policies naming 62327
62350Policies naming 62350
62351Policies naming 62351
62380Policies naming 62380
63001Policies naming 63001
63005Policies naming 63005
63011Policies naming 63011
63012Policies naming 63012
63015Policies naming 63015
63017Policies naming 63017
63020Policies naming 63020
63030Policies naming 63030
63040Policies naming 63040
63042Policies naming 63042
63045Policies naming 63045
63047Policies naming 63047
63050Policies naming 63050
63051Policies naming 63051
63056Policies naming 63056
63075Policies naming 63075
63081Policies naming 63081
63087Policies naming 63087
63090Policies naming 63090
63102Policies naming 63102
63265Policies naming 63265
63267Policies naming 63267
63268Policies naming 63268
63272Policies naming 63272
63273Policies naming 63273
63277Policies naming 63277
63278Policies naming 63278
63282Policies naming 63282
63283Policies naming 63283
63300Policies naming 63300
63303Policies naming 63303
63304Policies naming 63304
63307Policies naming 63307
63600Policies naming 63600
63610Policies naming 63610
63620Policies naming 63620
63650Policies naming 63650
63655Policies naming 63655
64479Policies naming 64479
64480Policies naming 64480
64483Policies naming 64483
64484Policies naming 64484
64490Policies naming 64490
64491Policies naming 64491
64492Policies naming 64492
64493Policies naming 64493
64494Policies naming 64494
64495Policies naming 64495
64625Policies naming 64625
64633Policies naming 64633
64634Policies naming 64634
64635Policies naming 64635
64636Policies naming 64636
92652Policies naming 92652
92653Policies naming 92653
95707Policies naming 95707
95717Policies naming 95717
95812Policies naming 95812
95813Policies naming 95813
95822Policies naming 95822
95860Policies naming 95860
95861Policies naming 95861
95863Policies naming 95863
95864Policies naming 95864
95867Policies naming 95867
95868Policies naming 95868
95870Policies naming 95870
95885Policies naming 95885
95886Policies naming 95886
95887Policies naming 95887
95907Policies naming 95907
95908Policies naming 95908
95909Policies naming 95909
95910Policies naming 95910
95911Policies naming 95911
95912Policies naming 95912
95913Policies naming 95913
95925Policies naming 95925
95926Policies naming 95926
95927Policies naming 95927
95928Policies naming 95928
95929Policies naming 95929
95933Policies naming 95933
95937Policies naming 95937
95938Policies naming 95938
95939Policies naming 95939
95940Policies naming 95940
95941Policies naming 95941
95955Policies naming 95955
95957Policies naming 95957
G0453Policies naming G0453

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.