Cigna policy

[Precertification] Changes to Precertification List Effective October 2021

[Precertification] Changes to Precertification List Effective October 2021 is a public Cigna policy. It lists 60 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
0002UPolicies naming 0002U
0018MPolicies naming 0018M
0024UPolicies naming 0024U
0119UPolicies naming 0119U
0258UPolicies naming 0258U
0259UPolicies naming 0259U
0260UPolicies naming 0260U
0261UPolicies naming 0261U
0262UPolicies naming 0262U
0263UPolicies naming 0263U
0264UPolicies naming 0264U
0265UPolicies naming 0265U
0266UPolicies naming 0266U
0267UPolicies naming 0267U
0279UPolicies naming 0279U
0280UPolicies naming 0280U
0281UPolicies naming 0281U
0283UPolicies naming 0283U
0284UPolicies naming 0284U
0467TPolicies naming 0467T
0468TPolicies naming 0468T
25675Policies naming 25675
27870Policies naming 27870
63030Policies naming 63030
63042Policies naming 63042
63045Policies naming 63045
81274Policies naming 81274
81333Policies naming 81333
83006Policies naming 83006
93702Policies naming 93702
95800Policies naming 95800
95801Policies naming 95801
95806Policies naming 95806
95999Policies naming 95999
C1831Policies naming C1831
C9081Policies naming C9081
C9082Policies naming C9082
C9083Policies naming C9083
C9084Policies naming C9084
C9761Policies naming C9761
C9779Policies naming C9779
C9780Policies naming C9780
G0398Policies naming G0398
G0399Policies naming G0399
G0400Policies naming G0400
J0741Policies naming J0741
J1305Policies naming J1305
J1426Policies naming J1426
J1448Policies naming J1448
J9247Policies naming J9247
J9318Policies naming J9318
J9319Policies naming J9319
K1021Policies naming K1021
K1023Policies naming K1023
K1024Policies naming K1024
K1025Policies naming K1025
Q2054Policies naming Q2054
Q4251Policies naming Q4251
Q4252Policies naming Q4252
Q4253Policies naming Q4253

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.