Cigna policy

[Precertification] Changes to Precertification List Effective January 2022

[Precertification] Changes to Precertification List Effective January 2022 is a public Cigna policy. It lists 118 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
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
0287UPolicies naming 0287U
0288UPolicies naming 0288U
0289UPolicies naming 0289U
0290UPolicies naming 0290U
0291UPolicies naming 0291U
0292UPolicies naming 0292U
0293UPolicies naming 0293U
0294UPolicies naming 0294U
0295UPolicies naming 0295U
0296UPolicies naming 0296U
0297UPolicies naming 0297U
0298UPolicies naming 0298U
0299UPolicies naming 0299U
0300UPolicies naming 0300U
0421TPolicies naming 0421T
0671TPolicies naming 0671T
0692TPolicies naming 0692T
0695TPolicies naming 0695T
0696TPolicies naming 0696T
0697TPolicies naming 0697T
0698TPolicies naming 0698T
0707TPolicies naming 0707T
0710TPolicies naming 0710T
0711TPolicies naming 0711T
0712TPolicies naming 0712T
0713TPolicies naming 0713T
33267Policies naming 33267
33268Policies naming 33268
33269Policies naming 33269
42975Policies naming 42975
43200Policies naming 43200
43201Policies naming 43201
43202Policies naming 43202
43204Policies naming 43204
43205Policies naming 43205
43206Policies naming 43206
43211Policies naming 43211
43212Policies naming 43212
43213Policies naming 43213
43214Policies naming 43214
43215Policies naming 43215
43216Policies naming 43216
43217Policies naming 43217
43220Policies naming 43220
43226Policies naming 43226
43227Policies naming 43227
43229Policies naming 43229
43233Policies naming 43233
43235Policies naming 43235
43236Policies naming 43236
43239Policies naming 43239
43241Policies naming 43241
43243Policies naming 43243
43244Policies naming 43244
43245Policies naming 43245
43246Policies naming 43246
43247Policies naming 43247
43248Policies naming 43248
43249Policies naming 43249
43250Policies naming 43250
43251Policies naming 43251
43252Policies naming 43252
43254Policies naming 43254
43255Policies naming 43255
43266Policies naming 43266
43270Policies naming 43270
43497Policies naming 43497
53451Policies naming 53451
53452Policies naming 53452
53453Policies naming 53453
53454Policies naming 53454
61736Policies naming 61736
61737Policies naming 61737
64582Policies naming 64582
64628Policies naming 64628
64629Policies naming 64629
65765Policies naming 65765
65767Policies naming 65767
69716Policies naming 69716
69719Policies naming 69719
81349Policies naming 81349
81523Policies naming 81523
81560Policies naming 81560
91110Policies naming 91110
91111Policies naming 91111
91113Policies naming 91113
93319Policies naming 93319
93593Policies naming 93593
93594Policies naming 93594
93595Policies naming 93595
93596Policies naming 93596
93597Policies naming 93597
A2001Policies naming A2001
A2002Policies naming A2002
A2003Policies naming A2003
A2004Policies naming A2004
A2005Policies naming A2005
A2006Policies naming A2006
A2007Policies naming A2007
A2008Policies naming A2008
A2009Policies naming A2009
A2010Policies naming A2010
A9595Policies naming A9595
C9085Policies naming C9085
C9086Policies naming C9086
J0172Policies naming J0172
J0485Policies naming J0485
J1437Policies naming J1437
J1439Policies naming J1439
J1952Policies naming J1952
J2506Policies naming J2506
J9021Policies naming J9021
J9061Policies naming J9061
J9272Policies naming J9272
Q0138Policies naming Q0138
Q2055Policies naming Q2055
Q4199Policies naming Q4199
S2325Policies naming S2325

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.