Cigna policy
Physical Performance Test or Measurement
Physical Performance Test or Measurement is a public Cigna policy (policy CPG295, effective Nov 15, 2025). It lists 6 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
- CPG295
- 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 |
|---|---|
| 95851 | Policies naming 95851 |
| 95852 | Policies naming 95852 |
| 97537 | Policies naming 97537 |
| 97545 | Policies naming 97545 |
| 97546 | Policies naming 97546 |
| 97750 | Policies naming 97750 |