Cigna Network News January 2013
 

Precertification changes

On January 1, 2013, the American Medical Association (AMA) and Centers for Medicare & Medicaid Services (CMS) released new CPT® and HCPCS codes. Codes released as part of their updates will be reflected on our precertification list this month.

 

On February 18, 2013, we will update our list of existing CPT and HCPCS codes to include 47 additional codes that will require precertification. At that time, we will also remove 56 codes from the precertification list.

 

The precertification list on the Cigna for Health Care Professionals website (CignaforHCP.com) reflects these updates.

 

To view the complete list of services requiring precertification of coverage, please log in to CignaforHCP.com and click on Precertification Policies under Popular Links. If you are not currently registered for the website, you will need to register to log in. Go to CignaforHCP.com and click on “Register Now,” located in the center of the screen.

Codes that will be added to the precertification list on February 18, 2013

15272, 15274, 15276, 15278, 21325, 33249, 61863, 61867, 61880, 61888, 81210, 81280, 81281, 81282, 81292, 81293, 81294, 81295, 81296, 81297, 81298, 81299, 81300, 81301, 81317, 81318, 81319, 81350, 95805, 95806, 95807, 95808, 95810, 95811, E0986, G0398, G0399, J0881, J0885, J0897, J2504, L8680, L8686, L8687, Q4106, S3834, S3890

Codes that will no longer require precertification beginning February 18, 2013

15170, 15175, 15330, 15331, 15335, 15336, 36515, 55706, 64622, 64623, 64626, 64627, 65770, 77079, 90901, 90911, 92558, 93025, 0042T, 0075T, 0076T, 0100T, 0141T, 0142T, 0143T, 0155T, 0156T, 0157T, 0158T, 0166T, 0167T, 0184T, C1818, E0652, E1801, E1806, E1811, E1812, E1818, E1821, G0416, G0417, G0418, G0419, J7184, L7266, L7272, L7274, Q2040, Q2041, Q2042, S2225, S9090, S9335, S9339

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JANUARY 2013


The precertification list on the Cigna for Health Care Professionals website (CignaforHCP.com) reflects these updates.

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