Billing Beat

CIGNA July Policy Updates

August 12, 2021

CIGNA Omnibus Codes – Codes added 7/15/2021

 Important changes in coverage criteria to the following sections:

  • Obstetrics/Gynecology
    • Added new code CPT proprietary laboratory analyses (PLA) code 0243U:
      • Obstetrics (preeclampsia), biochemical assay of placental-growth factor, time-resolved fluorescence immunoassay, maternal serum, predictive algorithm reported as a risk score for preeclampsia.
      • Code is EIU.
  • Gastroenterology
    • Added new code HCPCS code C9777:
      • Esophageal mucosal integrity testing by electrical impedance, transoral (list separately in addition to code for primary procedure).
      • Code is always EIU.

Genetic Testing for Reproductive Carrier Screening and Prenatal Diagnosis – (0514)

  • Important changes in coverage criteria, effective July 15, 2021:
    • Changed CPT code 81443 from covered to not medically necessary (NMN).
    • Updated coding tables to reflect numerous CPT and ICD-10 codes as covered.

The source page for this article has moved or has expired.

Please visit the Billing Beat News or Beyond Billing Blog for relevant information or search our site for specific information related to this article.

Original source URL:
https://static.cigna.com/assets/chcp/pdf/coveragePolicies/medical/mm_0504_coveragepositioncriteria_omnibus_codes.pdf

Sign up for Billing Beat