CommercialPrior AuthHigh impact
Summary of Provider Newsroom U.S. commercial medical articles
Cigna·Cardiology, ENT (Ear, Nose & Throat)·Prior Authorization
Effective date
May 30, 2025
We identified it
Jun 18, 2026
Summary
Cigna Healthcare removed 96 codes from prior authorization requirements effective immediately, including commonly requested cardiology, ENT, and other routine services. This reduces administrative burden for providers and eliminates the need to obtain prior auth for these previously restricted procedures.
Action Required
Immediately: Billing team must update prior authorization workflows to remove the 96 codes that no longer require approval. Update billing system rules, encounter forms, and staff training materials to reflect that cardiology, ENT, and other routine services in this list can now be scheduled and billed without prior authorization. Contact Cigna for the complete list of affected codes.