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.

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.

Source: https://static.cigna.com/assets/chcp/pdf/coveragePolicies/medical/mm_0504_coveragepositioncriteria_omnibus_codes.pdf