Cigna policies
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.
Checking prior authorization for 15771? Open Cigna’s official lists and confirm the member’s product there.
7 policies name 15771, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| Breast Reduction | 0152 · Effective Nov 15, 2026 · Commercial | 9 | Original policy ↗ |
| Surgical Treatment of Chest Wall Deformities | 0309 · Effective Apr 15, 2026 · Commercial | 9 | Original policy ↗ |
| Breast Reconstruction Following Mastectomy or Lumpectomy | 0178 · Effective Apr 15, 2026 · Commercial | 39 | Original policy ↗ |
| Scar Revision | 0328 · Effective Jun 15, 2026 · Commercial | 45 | Original policy ↗ |
| Gender Dysphoria Treatment | 0266 · Effective Sep 15, 2026 · Commercial | 171 | Original policy ↗ |
| Master Precertification List | Commercial | 2,245 | Original policy ↗ |
| Master Outpatient Precertification List | Commercial | 2,278 | Original policy ↗ |