Cigna policy

[Precertification] Changes to Precertification List Effective July 2022

[Precertification] Changes to Precertification List Effective July 2022 is a public Cigna policy. It lists 143 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
0326UPolicies naming 0326U
0328UPolicies naming 0328U
0329UPolicies naming 0329U
0331UPolicies naming 0331U
0714TPolicies naming 0714T
0715TPolicies naming 0715T
0717TPolicies naming 0717T
0718TPolicies naming 0718T
0719TPolicies naming 0719T
0720TPolicies naming 0720T
0725TPolicies naming 0725T
0727TPolicies naming 0727T
0728TPolicies naming 0728T
0729TPolicies naming 0729T
0731TPolicies naming 0731T
0732TPolicies naming 0732T
0735TPolicies naming 0735T
23030Policies naming 23030
23031Policies naming 23031
23035Policies naming 23035
23040Policies naming 23040
23044Policies naming 23044
23065Policies naming 23065
23066Policies naming 23066
23071Policies naming 23071
23073Policies naming 23073
23075Policies naming 23075
23076Policies naming 23076
23077Policies naming 23077
23078Policies naming 23078
23100Policies naming 23100
23101Policies naming 23101
23105Policies naming 23105
23107Policies naming 23107
23140Policies naming 23140
23146Policies naming 23146
23150Policies naming 23150
23156Policies naming 23156
23170Policies naming 23170
23180Policies naming 23180
23182Policies naming 23182
23184Policies naming 23184
23200Policies naming 23200
23210Policies naming 23210
23220Policies naming 23220
23330Policies naming 23330
23333Policies naming 23333
23334Policies naming 23334
23335Policies naming 23335
23400Policies naming 23400
23490Policies naming 23490
23491Policies naming 23491
23800Policies naming 23800
26990Policies naming 26990
26991Policies naming 26991
26992Policies naming 26992
27030Policies naming 27030
27040Policies naming 27040
27041Policies naming 27041
27043Policies naming 27043
27045Policies naming 27045
27047Policies naming 27047
27048Policies naming 27048
27049Policies naming 27049
27052Policies naming 27052
27054Policies naming 27054
27059Policies naming 27059
27065Policies naming 27065
27066Policies naming 27066
27067Policies naming 27067
27070Policies naming 27070
27071Policies naming 27071
27075Policies naming 27075
27076Policies naming 27076
27077Policies naming 27077
27078Policies naming 27078
27086Policies naming 27086
27087Policies naming 27087
27090Policies naming 27090
27091Policies naming 27091
27120Policies naming 27120
27122Policies naming 27122
27140Policies naming 27140
27146Policies naming 27146
27147Policies naming 27147
27151Policies naming 27151
27156Policies naming 27156
27158Policies naming 27158
27161Policies naming 27161
27165Policies naming 27165
27176Policies naming 27176
27177Policies naming 27177
27178Policies naming 27178
27179Policies naming 27179
27181Policies naming 27181
27187Policies naming 27187
27301Policies naming 27301
27303Policies naming 27303
27310Policies naming 27310
27323Policies naming 27323
27324Policies naming 27324
27327Policies naming 27327
27328Policies naming 27328
27329Policies naming 27329
27330Policies naming 27330
27337Policies naming 27337
27339Policies naming 27339
27364Policies naming 27364
27365Policies naming 27365
27372Policies naming 27372
27448Policies naming 27448
27450Policies naming 27450
27454Policies naming 27454
27455Policies naming 27455
27457Policies naming 27457
27465Policies naming 27465
27466Policies naming 27466
27468Policies naming 27468
27470Policies naming 27470
27472Policies naming 27472
27488Policies naming 27488
27495Policies naming 27495
64876Policies naming 64876
88749Policies naming 88749
C9094Policies naming C9094
C9095Policies naming C9095
C9096Policies naming C9096
C9097Policies naming C9097
C9098Policies naming C9098
G0308Policies naming G0308
G0309Policies naming G0309
J0739Policies naming J0739
J1306Policies naming J1306
J1551Policies naming J1551
J2356Policies naming J2356
J2779Policies naming J2779
J2998Policies naming J2998
J3299Policies naming J3299
J9331Policies naming J9331
J9332Policies naming J9332
Q4259Policies naming Q4259
Q4260Policies naming Q4260
Q4261Policies naming Q4261

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.