Cigna policy
Prosthetic Devices
Prosthetic Devices is a public Cigna policy (policy 0536, effective Jan 15, 2026). It lists 27 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Payer
- Cigna
- Policy number
- 0536
- Effective
- Jan 15, 2026
- 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 |
|---|---|
| 21088 | Policies naming 21088 |
| 66683 | Policies naming 66683 |
| C1839 | Policies naming C1839 |
| L5613 | Policies naming L5613 |
| L5615 | Policies naming L5615 |
| L5781 | Policies naming L5781 |
| L5827 | Policies naming L5827 |
| L5828 | Policies naming L5828 |
| L5830 | Policies naming L5830 |
| L5845 | Policies naming L5845 |
| L5848 | Policies naming L5848 |
| L5850 | Policies naming L5850 |
| L5856 | Policies naming L5856 |
| L5857 | Policies naming L5857 |
| L5859 | Policies naming L5859 |
| L5925 | Policies naming L5925 |
| L5969 | Policies naming L5969 |
| L5973 | Policies naming L5973 |
| L5999 | Policies naming L5999 |
| L6700 | Policies naming L6700 |
| L6880 | Policies naming L6880 |
| L6881 | Policies naming L6881 |
| L6882 | Policies naming L6882 |
| L6935 | Policies naming L6935 |
| L6955 | Policies naming L6955 |
| L7007 | Policies naming L7007 |
| L7259 | Policies naming L7259 |