Cigna policy
Surgical Treatments for Obstructive Sleep Apnea
Surgical Treatments for Obstructive Sleep Apnea is a public Cigna policy (policy 0158, effective Jun 15, 2026). It lists 28 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
Check eligibility for free
No account required. Sign a BAA to see plan details, coordination of benefits and more
- Payer
- Cigna
- Policy number
- 0158
- Effective
- Jun 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 |
|---|---|
| 21193 | Policies naming 21193 |
| 21194 | Policies naming 21194 |
| 21195 | Policies naming 21195 |
| 21196 | Policies naming 21196 |
| 21198 | Policies naming 21198 |
| 21199 | Policies naming 21199 |
| 21206 | Policies naming 21206 |
| 21685 | Policies naming 21685 |
| 41512 | Policies naming 41512 |
| 41530 | Policies naming 41530 |
| 42140 | Policies naming 42140 |
| 42145 | Policies naming 42145 |
| 42160 | Policies naming 42160 |
| 42299 | Policies naming 42299 |
| 42975 | Policies naming 42975 |
| 61886 | Policies naming 61886 |
| 64568 | Policies naming 64568 |
| 64582 | Policies naming 64582 |
| C1767 | Policies naming C1767 |
| C1778 | Policies naming C1778 |
| C1787 | Policies naming C1787 |
| C8007 | Policies naming C8007 |
| C8011 | Policies naming C8011 |
| C9727 | Policies naming C9727 |
| L8680 | Policies naming L8680 |
| L8681 | Policies naming L8681 |
| L8686 | Policies naming L8686 |
| L8688 | Policies naming L8688 |