Cigna policy

Occupational Therapy

Occupational Therapy is a public Cigna policy (policy CPG155, effective Dec 15, 2025). It lists 77 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

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Payer
Cigna
Policy number
CPG155
Effective
Dec 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
20560Policies naming 20560
20561Policies naming 20561
95851Policies naming 95851
95852Policies naming 95852
97010Policies naming 97010
97012Policies naming 97012
97014Policies naming 97014
97016Policies naming 97016
97018Policies naming 97018
97022Policies naming 97022
97024Policies naming 97024
97026Policies naming 97026
97028Policies naming 97028
97032Policies naming 97032
97033Policies naming 97033
97034Policies naming 97034
97035Policies naming 97035
97036Policies naming 97036
97039Policies naming 97039
97110Policies naming 97110
97112Policies naming 97112
97113Policies naming 97113
97116Policies naming 97116
97140Policies naming 97140
97150Policies naming 97150
97165Policies naming 97165
97166Policies naming 97166
97167Policies naming 97167
97168Policies naming 97168
97169Policies naming 97169
97170Policies naming 97170
97171Policies naming 97171
97172Policies naming 97172
97530Policies naming 97530
97535Policies naming 97535
97537Policies naming 97537
97545Policies naming 97545
97546Policies naming 97546
97610Policies naming 97610
97750Policies naming 97750
97755Policies naming 97755
97760Policies naming 97760
97761Policies naming 97761
97763Policies naming 97763
97799Policies naming 97799
G0129Policies naming G0129
G0152Policies naming G0152
G0158Policies naming G0158
G0160Policies naming G0160
L3763Policies naming L3763
L3764Policies naming L3764
L3765Policies naming L3765
L3766Policies naming L3766
L3806Policies naming L3806
L3807Policies naming L3807
L3808Policies naming L3808
L3891Policies naming L3891
L3900Policies naming L3900
L3901Policies naming L3901
L3905Policies naming L3905
L3906Policies naming L3906
L3913Policies naming L3913
L3915Policies naming L3915
L3917Policies naming L3917
L3919Policies naming L3919
L3921Policies naming L3921
L3923Policies naming L3923
L3929Policies naming L3929
L3931Policies naming L3931
L3933Policies naming L3933
L3935Policies naming L3935
L3956Policies naming L3956
L4205Policies naming L4205
S8940Policies naming S8940
S8990Policies naming S8990
S9117Policies naming S9117
S9129Policies naming S9129

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.