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Precertification updates

Cigna·Coding
Effective date
Jan 1, 2024
We identified it
Jun 19, 2026
Days to comply

Summary

Cigna Healthcare added 25 new CPT codes and 24 new HCPCS codes to their precertification requirements effective January 1, 2024. Billing teams must obtain prior authorization for these newly added codes to ensure proper claims processing.

Action Required

Action needed
Immediately: Billing team must access the updated precertification list at CignaforHCP.com > Resources > Clinical Reimbursement Policies and Payment Policies > Precertification Policies to identify the 25 new CPT codes and 24 new HCPCS codes. Update billing system to require prior authorization for all newly added codes. Train staff to verify precertification requirements before scheduling procedures. Claims submitted without proper precertification will be denied.

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