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 L8687? Open Cigna’s official lists and confirm the member’s product there.
8 policies name L8687, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| Diaphragmatic/Phrenic Nerve Stimulation | 0391 · Effective Jul 15, 2026 · Commercial | 14 | Original policy ↗ |
| Sacral Nerve Stimulation for Urinary Voiding Dysfunction, Fecal Incontinence and Constipation | 0404 · Effective Nov 15, 2025 · Commercial | 14 | Original policy ↗ |
| Vagus Nerve Stimulation (VNS) | 0350 · Effective Feb 15, 2026 · Commercial | 18 | Original policy ↗ |
| Headache, Occipital, and/or Trigeminal Neuralgia Treatment | 0063 · Effective Jun 15, 2026 · Commercial | 20 | Original policy ↗ |
| Deep Brain, Motor Cortex and Responsive Cortical Stimulation | 0184 · Effective Nov 15, 2025 · Commercial | 21 | Original policy ↗ |
| Peripheral Nerve Stimulation and Peripheral Nerve Field Stimulation | 0539 · Effective Mar 15, 2026 · Commercial | 26 | Original policy ↗ |
| Master Precertification List | Commercial | 2,245 | Original policy ↗ |
| Master Outpatient Precertification List | Commercial | 2,278 | Original policy ↗ |