| Bone Mineral Density Measurement | 0300 · Effective Apr 15, 2026 · Commercial | 2 | Original policy ↗ |
| Breast Implant Removal | 0048 · Effective Apr 15, 2026 · Commercial | 7 | Original policy ↗ |
| Breast Reconstruction Following Mastectomy or Lumpectomy | 0178 · Effective Apr 15, 2026 · Commercial | 39 | Original policy ↗ |
| Breast Reduction | 0152 · Effective Nov 15, 2025 · Commercial | 6 | Original policy ↗ |
| Breast Reduction | 0152 · Effective Nov 15, 2026 · Commercial | 9 | Original policy ↗ |
| Cardiac Ablation of Abnormal Electrical Rhythms | 0529 · Effective Apr 15, 2026 · Commercial | 11 | Original policy ↗ |
| Cardiac Electrophysiological (EP) Studies | 0532 · Effective Oct 15, 2025 · Commercial | 4 | Original policy ↗ |
| Cardiac Omnibus Codes | 0574 · Effective Sep 15, 2026 · Commercial | 35 | Original policy ↗ |
| Cardiac Rehabilitation (Phase II Outpatient) | 0073 · Effective May 15, 2026 · Commercial | 5 | Original policy ↗ |
| Cardiac Resynchronization Therapy (CRT) | 0174 · Effective Dec 15, 2025 · Commercial | 4 | Original policy ↗ |
| Cardioverter-Defibrillator Devices | 0431 · Effective Jul 15, 2026 · Commercial | 7 | Original policy ↗ |
| Category III Current Procedural Terminology (CPT®) codes | 0558 · Effective Sep 15, 2026 · Commercial | 76 | Original policy ↗ |
| Cell-Based Therapy for Cardiac and Peripheral Arterial Disease | 0287 · Effective May 15, 2026 · Commercial | 5 | Original policy ↗ |
| Cervical Cancer Screening Visualization Technologies | 0127 · Effective Sep 15, 2026 · Commercial | 1 | Original policy ↗ |
| Cervical Plexus Block | 0579 · Effective May 15, 2026 · Commercial | 1 | Original policy ↗ |
| Changes to Precertification List Effective April 2024 | Effective Apr 1, 2024 · Commercial | 10 | Original policy ↗ |
| Changes to Precertification List Effective August 2021 | Commercial | 7 | Original policy ↗ |
| Changes to Precertification List Effective August 2024 | Commercial | 1 | Original policy ↗ |
| Changes to Precertification List Effective November 2024 | Commercial | 7 | Original policy ↗ |
| Chiropractic Care | CPG278 · Effective Dec 15, 2025 · Commercial | 46 | Original policy ↗ |
| Chromoendoscopy | 0148 · Effective Nov 15, 2025 · Commercial | 3 | Original policy ↗ |
| Cigna Healthcare Gene Therapy Program Participating Providers | Commercial | — | Original policy ↗ |
| Cigna Specialty Care Options and Cigna Specialty Care Options Plus Drug list and frequently asked questions | Commercial | 197 | Original policy ↗ |
| Circumcision | 0582 · Effective May 15, 2026 · Commercial | 1 | Original policy ↗ |
| Classified therapies for the Cigna Healthcare Gene Therapy and Advanced Cellular Therapy Programs | Commercial | 25 | Original policy ↗ |
| Clinical claim review Not-payable reason codes | Effective Sep 1, 2026 · Commercial | — | Original policy ↗ |
| Clinical Trials | A003 · Effective Aug 15, 2026 · Commercial | 10 | Original policy ↗ |
| Cochlear Implants | 0190 · Effective Nov 15, 2025 · Commercial | 3 | Original policy ↗ |
| Cognitive Rehabilitation | CPG270 · Effective Jul 15, 2026 · Commercial | 3 | Original policy ↗ |
| Complementary and Alternative Medicine | EN0086 · Effective Feb 15, 2026 · Commercial | 35 | Original policy ↗ |
| Complex Lymphedema Therapy (Complete Decongestive Therapy) | CPG157 · Effective May 15, 2026 · Commercial | 3 | Original policy ↗ |
| Compression Devices | 0354 · Effective May 15, 2026 · Commercial | 27 | Original policy ↗ |
| Continuity of Care Service Requests | UM-41 · Commercial | — | Original policy ↗ |
| Continuity of Care Service Requests - (HM-CLN-038) | HM-CLN-038 · Commercial | — | Original policy ↗ |
| Continuous Passive Motion (CPM) Devices | 0198 · Effective Aug 15, 2026 · Commercial | 2 | Original policy ↗ |
| Corneal Remodeling for Refractive Errors | 0141 · Effective Nov 15, 2025 · Commercial | 5 | Original policy ↗ |
| COVID-19: In Vitro Diagnostic Testing | 0557 · Effective May 15, 2026 · Commercial | 15 | Original policy ↗ |
| Custodial, Non-Skilled Services | A012 · Effective Sep 15, 2026 · Commercial | — | Original policy ↗ |
| Deep Brain, Motor Cortex and Responsive Cortical Stimulation | 0184 · Effective Nov 15, 2025 · Commercial | 21 | Original policy ↗ |
| Dental Implants | 0585 · Effective Aug 15, 2026 · Commercial | 5 | Original policy ↗ |
| Diabetes Equipment and Supplies | 0106 · Effective Feb 15, 2026 · Commercial | 9 | Original policy ↗ |
| Diagnostic Nasal/Sinus Endoscopy, Functional Endoscopic Sinus Surgery (FESS) and Turbinectomy | 0554 · Effective Sep 15, 2026 · Commercial | 21 | Original policy ↗ |
| Diaphragmatic/Phrenic Nerve Stimulation | 0391 · Effective Jul 15, 2026 · Commercial | 14 | Original policy ↗ |
| Donor Lymphocyte Infusion and Hematopoietic Progenitor Cell (HPC) Boost | 0261 · Effective May 15, 2026 · Commercial | 2 | Original policy ↗ |
| Drug-Eluting Devices for Use Following Endoscopic Sinus Surgery | 0481 · Effective Apr 15, 2026 · Commercial | 9 | Original policy ↗ |
| Duplex Scan of Extracranial Arteries | 0542 · Effective Jul 15, 2026 · Commercial | 2 | Original policy ↗ |
| E&M1 CODES NOT REIMBURSABLE ON OUTPATIENT FACILITY CLAIMS | R12 · Effective Jul 15, 2019 · Commercial | 95 | Original policy ↗ |
| Electric Stimulation for Pain, Swelling and Function in a Clinic Setting | CPG272 · Effective Aug 15, 2026 · Commercial | 3 | Original policy ↗ |
| Electrical Stimulation Therapy and Devices in a Home Setting | 0160 · Effective Sep 15, 2026 · Commercial | 18 | Original policy ↗ |
| Electrodiagnostic Testing (EMG/NCV) | CPG129 · Effective Sep 15, 2026 · Commercial | 31 | Original policy ↗ |
