Cigna policy

[Precertification] Changes to Precertification List Effective January 2023

[Precertification] Changes to Precertification List Effective January 2023 is a public Cigna policy. It lists 72 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
0357UPolicies naming 0357U
0358UPolicies naming 0358U
0359UPolicies naming 0359U
0361UPolicies naming 0361U
0745TPolicies naming 0745T
0746TPolicies naming 0746T
0747TPolicies naming 0747T
0775TPolicies naming 0775T
0777TPolicies naming 0777T
0780TPolicies naming 0780T
15778Policies naming 15778
22860Policies naming 22860
30469Policies naming 30469
43290Policies naming 43290
43291Policies naming 43291
69729Policies naming 69729
69730Policies naming 69730
81456Policies naming 81456
93569Policies naming 93569
93573Policies naming 93573
93574Policies naming 93574
93575Policies naming 93575
A4239Policies naming A4239
C1826Policies naming C1826
C1827Policies naming C1827
C7504Policies naming C7504
C7505Policies naming C7505
C7507Policies naming C7507
C7508Policies naming C7508
C7516Policies naming C7516
C7517Policies naming C7517
C7518Policies naming C7518
C7519Policies naming C7519
C7520Policies naming C7520
C7521Policies naming C7521
C7522Policies naming C7522
C7523Policies naming C7523
C7524Policies naming C7524
C7525Policies naming C7525
C7526Policies naming C7526
C7527Policies naming C7527
C7528Policies naming C7528
C7529Policies naming C7529
C7531Policies naming C7531
C7534Policies naming C7534
C7535Policies naming C7535
C7537Policies naming C7537
C7538Policies naming C7538
C7539Policies naming C7539
C7540Policies naming C7540
C7541Policies naming C7541
C7552Policies naming C7552
C7553Policies naming C7553
E2103Policies naming E2103
G0465Policies naming G0465
J0225Policies naming J0225
J0893Policies naming J0893
J1456Policies naming J1456
J1954Policies naming J1954
J2327Policies naming J2327
J9046Policies naming J9046
J9048Policies naming J9048
J9049Policies naming J9049
J9305Policies naming J9305
J9314Policies naming J9314
J9393Policies naming J9393
J9394Policies naming J9394
Q4236Policies naming Q4236
Q4262Policies naming Q4262
Q4263Policies naming Q4263
Q4264Policies naming Q4264
Q5126Policies naming Q5126

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.