Cigna policy
Minimally Invasive Anti-Reflux Procedures and Peroral Endoscopic Myotomy (POEM) Procedures
Minimally Invasive Anti-Reflux Procedures and Peroral Endoscopic Myotomy (POEM) Procedures is a public Cigna policy (policy 0019, effective Sep 15, 2026). It lists 9 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Payer
- Cigna
- Policy number
- 0019
- Effective
- Sep 15, 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.
| Code | Other Cigna policies |
|---|---|
| 43210 | Policies naming 43210 |
| 43236 | Policies naming 43236 |
| 43257 | Policies naming 43257 |
| 43284 | Policies naming 43284 |
| 43289 | Policies naming 43289 |
| 43497 | Policies naming 43497 |
| 43499 | Policies naming 43499 |
| 43659 | Policies naming 43659 |
| 43999 | Policies naming 43999 |