CommercialPrior AuthHigh impact
Cigna Healthcare removes 96 codes from the list of services that require prior authorization
Cigna·Cardiology, ENT (Ear, Nose & Throat)·Prior Authorization
Effective date
May 31, 2025
We identified it
Jun 18, 2026
Summary
Cigna Healthcare is removing 96 codes from prior authorization requirements effective May 31, 2025, including commonly requested cardiology, ENT, and other routine services. This means providers will no longer need to obtain prior authorization for these services, reducing administrative burden and allowing faster patient access to care.
Action Required
By May 31, 2025: Billing team must update prior authorization workflows and billing system settings to remove prior auth requirements for the 96 specified codes. Review the complete list of removed codes provided by Cigna Healthcare and update encounter forms and EMR templates accordingly. Notify providers that these services can now be scheduled without prior authorization. Verify that billing software no longer flags these codes for prior auth to prevent unnecessary delays.