Cigna Preventive Care Services Policy & Precertification Updates

September 2019 ~

Cigna has made several additions and removals to its precertification list, as well as updates to its Preventive Care Services Policy.

Precertification Updates

NEW Codes

  • Effective Date: July 1, 2019
    • 29 Current Procedural Terminology (CPT®) codes
    • Eight new Healthcare Common Procedure Coding System (HCPCS) codes
  • Effective Date: August 23, 2019
    • 44 existing CPT codes

NOTE: There were no codes removed from the precertification list.

Preventive Care Services Policy Updates

Breast Pumps

  • Effective Date: April 15, 2019
    • Breast pump, manual, electric (AC and/or DC), any type, does not require a prescription. Hospital grade breast pumps do not require precertification; however, a prescription is required. Reminder: Must be ordered through CareCentrix, Cigna’s national durable equipment vendor; one per birth.
    • Codes: E0602, E0603 E0604

Human Papillomavirus Vaccine

  • Effective Date: April 15, 2019
    • Age limits are not applied for dates of service effective on or after February 16, 2019
    • Codes: 90649, 90650, 90651

Aortic Abdominal Aneurysm (AAA) Screening

  • Effective Date: October 1, 2019
    • Deleted CPT® codes: 767500, 76705, 76770, 76775
    • Deleted HCPCS code: G0389

To view an outline of monthly precertification updates, as well as the complete list of services that require precertification of coverage, see Cigna’s Precertification Policies page.

For additional guidance on preventive care services, refer to the Preventive Care Services – (A004) on the Cigna for Health Care Professionals website.

CPT® is a registered trademark of the American Medical Association.
Source(s): Cigna Network News;