Cigna policy

Laboratory Testing Services

Laboratory Testing Services is a public Cigna policy (policy 0604, effective Oct 1, 2026). It lists 1,268 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
0604
Effective
Oct 1, 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
0002MPolicies naming 0002M
0002UPolicies naming 0002U
0003MPolicies naming 0003M
0003UPolicies naming 0003U
0007UPolicies naming 0007U
0008UPolicies naming 0008U
0010UPolicies naming 0010U
0011UPolicies naming 0011U
0018MPolicies naming 0018M
0019MPolicies naming 0019M
0021UPolicies naming 0021U
0024UPolicies naming 0024U
0025UPolicies naming 0025U
0035UPolicies naming 0035U
0039UPolicies naming 0039U
0041UPolicies naming 0041U
0042UPolicies naming 0042U
0043UPolicies naming 0043U
0044UPolicies naming 0044U
0051UPolicies naming 0051U
0052UPolicies naming 0052U
0054UPolicies naming 0054U
0055UPolicies naming 0055U
0058UPolicies naming 0058U
0059UPolicies naming 0059U
0060UPolicies naming 0060U
0061UPolicies naming 0061U
0062UPolicies naming 0062U
0065UPolicies naming 0065U
0067UPolicies naming 0067U
0068UPolicies naming 0068U
0069UPolicies naming 0069U
0077UPolicies naming 0077U
0079UPolicies naming 0079U
0082UPolicies naming 0082U
0083UPolicies naming 0083U
0086UPolicies naming 0086U
0092UPolicies naming 0092U
0093UPolicies naming 0093U
0095UPolicies naming 0095U
0096UPolicies naming 0096U
0105UPolicies naming 0105U
0107UPolicies naming 0107U
0108UPolicies naming 0108U
0109UPolicies naming 0109U
0110UPolicies naming 0110U
0114UPolicies naming 0114U
0116UPolicies naming 0116U
0117UPolicies naming 0117U
0119UPolicies naming 0119U
0121UPolicies naming 0121U
0122UPolicies naming 0122U
0123UPolicies naming 0123U
0163UPolicies naming 0163U
0164UPolicies naming 0164U
0166UPolicies naming 0166U
0176UPolicies naming 0176U
0180UPolicies naming 0180U
0181UPolicies naming 0181U
0182UPolicies naming 0182U
0183UPolicies naming 0183U
0184UPolicies naming 0184U
0185UPolicies naming 0185U
0186UPolicies naming 0186U
0187UPolicies naming 0187U
0188UPolicies naming 0188U
0189UPolicies naming 0189U
0190UPolicies naming 0190U
0191UPolicies naming 0191U
0192UPolicies naming 0192U
0194UPolicies naming 0194U
0196UPolicies naming 0196U
0197UPolicies naming 0197U
0198UPolicies naming 0198U
01990Policies naming 01990
01996Policies naming 01996
0199UPolicies naming 0199U
0200UPolicies naming 0200U
0201UPolicies naming 0201U
0206UPolicies naming 0206U
0207UPolicies naming 0207U
0210UPolicies naming 0210U
0219UPolicies naming 0219U
0220UPolicies naming 0220U
0221UPolicies naming 0221U
0222UPolicies naming 0222U
0227UPolicies naming 0227U
0228UPolicies naming 0228U
0243UPolicies naming 0243U
0246UPolicies naming 0246U
0247UPolicies naming 0247U
0251UPolicies naming 0251U
0255UPolicies naming 0255U
0256UPolicies naming 0256U
0257UPolicies naming 0257U
0259UPolicies naming 0259U
0261UPolicies naming 0261U
0275UPolicies naming 0275U
0279UPolicies naming 0279U
0280UPolicies naming 0280U
0281UPolicies naming 0281U
0282UPolicies naming 0282U
0283UPolicies naming 0283U
0284UPolicies naming 0284U
0285UPolicies naming 0285U
0295UPolicies naming 0295U
0301UPolicies naming 0301U
0302UPolicies naming 0302U
0303UPolicies naming 0303U
0304UPolicies naming 0304U
0305UPolicies naming 0305U
0308UPolicies naming 0308U
0311UPolicies naming 0311U
0312UPolicies naming 0312U
0316UPolicies naming 0316U
0317UPolicies naming 0317U
0319UPolicies naming 0319U
0320UPolicies naming 0320U
0328UPolicies naming 0328U
0337UPolicies naming 0337U
0338UPolicies naming 0338U
0342UPolicies naming 0342U
0344UPolicies naming 0344U
0351UPolicies naming 0351U
0359UPolicies naming 0359U
0361UPolicies naming 0361U
0375UPolicies naming 0375U
0377UPolicies naming 0377U
0381UPolicies naming 0381U
0382UPolicies naming 0382U
0383UPolicies naming 0383U
0384UPolicies naming 0384U
0385UPolicies naming 0385U
0393UPolicies naming 0393U
0394UPolicies naming 0394U
0395UPolicies naming 0395U
0399UPolicies naming 0399U
0402UPolicies naming 0402U
0404UPolicies naming 0404U
0405UPolicies naming 0405U
0406UPolicies naming 0406U
0407UPolicies naming 0407U
0408UPolicies naming 0408U
0415UPolicies naming 0415U
0418UPolicies naming 0418U
0427UPolicies naming 0427U
0429UPolicies naming 0429U
0430UPolicies naming 0430U
0431UPolicies naming 0431U
0432UPolicies naming 0432U
0435UPolicies naming 0435U
0446UPolicies naming 0446U
0447UPolicies naming 0447U
0458UPolicies naming 0458U
0462UPolicies naming 0462U
0558UPolicies naming 0558U
0559UPolicies naming 0559U
0574UPolicies naming 0574U
0616UPolicies naming 0616U
0617UPolicies naming 0617U
0618UPolicies naming 0618U
0619UPolicies naming 0619U
0620UPolicies naming 0620U
0621UPolicies naming 0621U
0622UPolicies naming 0622U
0623UPolicies naming 0623U
0624UPolicies naming 0624U
0625UPolicies naming 0625U
0626UPolicies naming 0626U
0627UPolicies naming 0627U
0628UPolicies naming 0628U
0682UPolicies naming 0682U
0683UPolicies naming 0683U
80047Policies naming 80047
80048Policies naming 80048
80050Policies naming 80050
80051Policies naming 80051
80053Policies naming 80053
80055Policies naming 80055
80069Policies naming 80069
80074Policies naming 80074
80076Policies naming 80076
80143Policies naming 80143
80150Policies naming 80150
80151Policies naming 80151
80155Policies naming 80155
80156Policies naming 80156
80157Policies naming 80157
80158Policies naming 80158
80159Policies naming 80159
80161Policies naming 80161
80162Policies naming 80162
80163Policies naming 80163
80164Policies naming 80164
80165Policies naming 80165
80167Policies naming 80167
80168Policies naming 80168
80169Policies naming 80169
80170Policies naming 80170
80171Policies naming 80171
80173Policies naming 80173
80175Policies naming 80175
80176Policies naming 80176
80177Policies naming 80177
80178Policies naming 80178
80179Policies naming 80179
80180Policies naming 80180
80181Policies naming 80181
80183Policies naming 80183
80184Policies naming 80184
80185Policies naming 80185
80186Policies naming 80186
80187Policies naming 80187
80188Policies naming 80188
80189Policies naming 80189
80190Policies naming 80190
80192Policies naming 80192
80193Policies naming 80193
80194Policies naming 80194
80195Policies naming 80195
80197Policies naming 80197
80198Policies naming 80198
80199Policies naming 80199
80200Policies naming 80200
80201Policies naming 80201
80202Policies naming 80202
80203Policies naming 80203
80204Policies naming 80204
80210Policies naming 80210
80220Policies naming 80220
80230Policies naming 80230
80235Policies naming 80235
80280Policies naming 80280
80285Policies naming 80285
80299Policies naming 80299
80400Policies naming 80400
80402Policies naming 80402
80406Policies naming 80406
80408Policies naming 80408
80410Policies naming 80410
80412Policies naming 80412
80414Policies naming 80414
80415Policies naming 80415
80416Policies naming 80416
80417Policies naming 80417
80418Policies naming 80418
80420Policies naming 80420
80422Policies naming 80422
80424Policies naming 80424
80426Policies naming 80426
80428Policies naming 80428
80430Policies naming 80430
80432Policies naming 80432
80434Policies naming 80434
80435Policies naming 80435
80436Policies naming 80436
80438Policies naming 80438
80439Policies naming 80439
80503Policies naming 80503
80504Policies naming 80504
80505Policies naming 80505
80506Policies naming 80506
81000Policies naming 81000
81001Policies naming 81001
81002Policies naming 81002
81003Policies naming 81003
81005Policies naming 81005
81007Policies naming 81007
81015Policies naming 81015
81020Policies naming 81020
81050Policies naming 81050
81099Policies naming 81099
81370Policies naming 81370
81371Policies naming 81371
81372Policies naming 81372
81373Policies naming 81373
81375Policies naming 81375
81376Policies naming 81376
81378Policies naming 81378
81379Policies naming 81379
81380Policies naming 81380
81382Policies naming 81382
81503Policies naming 81503
81508Policies naming 81508
81510Policies naming 81510
81512Policies naming 81512
81517Policies naming 81517
81539Policies naming 81539
81560Policies naming 81560
81596Policies naming 81596
82009Policies naming 82009
82010Policies naming 82010
82013Policies naming 82013
82016Policies naming 82016
82017Policies naming 82017
82024Policies naming 82024
82030Policies naming 82030
82040Policies naming 82040
82042Policies naming 82042
82043Policies naming 82043

And 968 more in the original policy.

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.