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CignaCommercial · Prior Auth · Prior Authorization · Cardiology, ENT (Ear, Nose & Throat)High impact

Summary of Provider Newsroom U.S. commercial medical articles

Act
immediately
Effective date
May 30, 2025
Identified
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.

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What to do

immediately · 3 steps
01Billing team must update prior authorization workflows to remove the 96 codes that no longer require approval.
02Update 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.
03Contact Cigna for the complete list of affected codes.

Original notice

Summary of Provider Newsroom U.S. commercial medical articles
providernewsroom.com · Always check the source before changing claims.
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