Cigna policy

Specialty Medical Injectables with Reimbursement Restriction

Specialty Medical Injectables with Reimbursement Restriction is a public Cigna policy. It lists 88 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
C9399Policies naming C9399
J0180Policies naming J0180
J0202Policies naming J0202
J0217Policies naming J0217
J0218Policies naming J0218
J0219Policies naming J0219
J0221Policies naming J0221
J0222Policies naming J0222
J0223Policies naming J0223
J0225Policies naming J0225
J0567Policies naming J0567
J0870Policies naming J0870
J1203Policies naming J1203
J1299Policies naming J1299
J1302Policies naming J1302
J1303Policies naming J1303
J1304Policies naming J1304
J1305Policies naming J1305
J1307Policies naming J1307
J1322Policies naming J1322
J1323Policies naming J1323
J1411Policies naming J1411
J1412Policies naming J1412
J1413Policies naming J1413
J1426Policies naming J1426
J1427Policies naming J1427
J1428Policies naming J1428
J1429Policies naming J1429
J1458Policies naming J1458
J1743Policies naming J1743
J1747Policies naming J1747
J1786Policies naming J1786
J1931Policies naming J1931
J2326Policies naming J2326
J2508Policies naming J2508
J2840Policies naming J2840
J3241Policies naming J3241
J3263Policies naming J3263
J3387Policies naming J3387
J3389Policies naming J3389
J3391Policies naming J3391
J3392Policies naming J3392
J3393Policies naming J3393
J3394Policies naming J3394
J3397Policies naming J3397
J3398Policies naming J3398
J3399Policies naming J3399
J3401Policies naming J3401
J3403Policies naming J3403
J3404Policies naming J3404
J3405Policies naming J3405
J3490Policies naming J3490
J3590Policies naming J3590
J9024Policies naming J9024
J9028Policies naming J9028
J9029Policies naming J9029
J9061Policies naming J9061
J9062Policies naming J9062
J9063Policies naming J9063
J9119Policies naming J9119
J9177Policies naming J9177
J9183Policies naming J9183
J9210Policies naming J9210
J9226Policies naming J9226
J9228Policies naming J9228
J9256Policies naming J9256
J9273Policies naming J9273
J9277Policies naming J9277
J9286Policies naming J9286
J9289Policies naming J9289
J9298Policies naming J9298
J9299Policies naming J9299
J9307Policies naming J9307
J9317Policies naming J9317
J9321Policies naming J9321
J9326Policies naming J9326
J9329Policies naming J9329
J9331Policies naming J9331
J9332Policies naming J9332
J9333Policies naming J9333
J9334Policies naming J9334
J9350Policies naming J9350
J9358Policies naming J9358
J9359Policies naming J9359
J9376Policies naming J9376
J9381Policies naming J9381
Q5151Policies naming Q5151
Q5152Policies naming Q5152

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.