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Cigna policies, page 3

Search Cigna's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

246 public policies Substrate tracks for Cigna, by title.

Cigna policies
PolicyDetailsCodesSource
Electroencephalography0521 · Effective Feb 15, 2026 · Commercial41Original policy ↗
Electromagnetic Field and Alternating Electric Field Therapy for Cancer Treatment0581 · Effective Sep 15, 2026 · Commercial3Original policy ↗
Emergency Room ServicesA005 · Effective Aug 8, 2026 · Commercial—Original policy ↗
Endometrial Ablation0013 · Effective Feb 15, 2026 · Commercial5Original policy ↗
Enteral Formula and SuppliesA022 · Effective Jun 15, 2026 · Commercial—Original policy ↗
Excimer Laser, Dermabrasion and Chemical Peels for Dermatologic Conditions0505 · Effective Jul 15, 2026 · Commercial12Original policy ↗
External Counterpulsation0058 · Effective May 15, 2026 · Commercial1Original policy ↗
Extracorporeal Photopheresis0320 · Effective Nov 15, 2026 · Commercial1Original policy ↗
Extracorporeal Shock Wave Therapy (ESWT) for Musculoskeletal Conditions0004 · Effective Nov 15, 2025 · Commercial4Original policy ↗
Fecal Calprotectin Testing0121 · Effective Mar 15, 2026 · Commercial1Original policy ↗
Fetal Surgery0175 · Effective Jul 15, 2026 · Commercial1Original policy ↗
Fixed Wing Air Ambulance Transport0555 · Effective Aug 15, 2026 · Commercial2Original policy ↗
Flow Cytometry0538 · Effective Sep 15, 2026 · Commercial22Original policy ↗
Gait Analysis0315 · Effective Jun 15, 2026 · Commercial4Original policy ↗
Gastric Pacing/Gastric Electrical Stimulation (GES)0103 · Effective Nov 15, 2025 · Commercial9Original policy ↗
Gender Dysphoria Treatment0266 · Effective Sep 15, 2026 · Commercial171Original policy ↗
Genetic Testing for Hereditary and Multifactorial Conditions0052 · Effective Sep 15, 2026 · Commercial11Original policy ↗
Genetic Testing for Reproductive Carrier Screening and Prenatal Diagnosis0514 · Effective Oct 1, 2026 · Commercial15Original policy ↗
Glaucoma Surgical Procedures0035 · Effective Apr 15, 2026 · Commercial7Original policy ↗
Gynecomastia Surgery0195 · Effective Aug 15, 2026 · Commercial2Original policy ↗
Head and Neck Ultrasound0549 · Effective Sep 15, 2026 · Commercial1Original policy ↗
Headache, Occipital, and/or Trigeminal Neuralgia Treatment0063 · Effective Jun 15, 2026 · Commercial20Original policy ↗
Hearing Aids0093 · Effective May 15, 2026 · Commercial5Original policy ↗
Heart, Lung, and Heart-Lung Transplantation0129 · Effective Sep 15, 2025 · Commercial16Original policy ↗
High Intensity Focused Ultrasound (HIFU)0274 · Effective Dec 15, 2025 · Commercial5Original policy ↗
Home Traction Devices – Cervical and LumbarCPG265 · Effective Apr 15, 2026 · Commercial8Original policy ↗
Home Ventilators0546 · Effective Jun 15, 2026 · Commercial3Original policy ↗
Hyperbaric and Topical Oxygen Therapies0053 · Effective May 15, 2026 · Commercial3Original policy ↗
Hyperhidrosis: Surgical Treatments0037 · Effective Jan 15, 2026 · Commercial4Original policy ↗
Infant Nutritional Formula0136 · Effective Sep 15, 2026 · Commercial5Original policy ↗
Infertility Services0089 · Effective Jun 15, 2025 · Commercial181Original policy ↗
Infertility Services0089 · Effective Oct 15, 2026 · Commercial179Original policy ↗
Inhaled Nitric Oxide (INO)0453 · Effective Jun 15, 2026 · Commercial3Original policy ↗
Injectable Fillers for Head and Neck Conditions0511 · Effective Jun 15, 2026 · Commercial9Original policy ↗
Intensive Behavioral InterventionsEN0499 · Effective May 15, 2026 · Commercial10Original policy ↗
Intestinal and Multivisceral Transplantation0288 · Effective Mar 15, 2026 · Commercial23Original policy ↗
Intraocular Lens Implant0125 · Effective Sep 15, 2026 · Commercial9Original policy ↗
Intraoperative Monitoring0509 · Effective Sep 15, 2025 · Commercial169Original policy ↗
Intraoral Prostheses0584 · Effective Aug 15, 2026 · Commercial4Original policy ↗
Kidney Transplantation, Pancreas-Kidney Transplantation, and Pancreas Transplantation Alone0146 · Effective Oct 15, 2025 · Commercial20Original policy ↗
Laboratory Testing for Transplantation Rejection0465 · Effective Dec 15, 2025 · Commercial9Original policy ↗
Laboratory Testing Services0604 · Effective Oct 1, 2026 · Commercial1,268Original policy ↗
Lack of Information (LOI) Pre-Service - (UM-49)UM-49 · Commercial—Original policy ↗
Lack of Information (LOI) Retrospective Review - (UM-47)UM-47 · Commercial—Original policy ↗
Laser Interstitial Thermal Therapy0528 · Effective Aug 15, 2025 · Commercial—Original policy ↗
Laser Interstitial Thermal Therapy0528 · Effective Nov 15, 2026 · Commercial2Original policy ↗
Liver and Liver-Kidney Transplantation0355 · Effective Apr 15, 2026 · Commercial23Original policy ↗
Low-Level Laser and High-Power Laser TherapyCPG030 · Effective Mar 15, 2026 · Commercial4Original policy ↗
Lymphedema and Lipedema Surgical Treatments0531 · Effective Oct 1, 2026 · Commercial17Original policy ↗
Male Sexual Dysfunction Treatment: Non-pharmacologic0403 · Effective Jul 15, 2026 · Commercial8Original policy ↗

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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.

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