Payer policy changes
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1511 updates
Policy Payer Type Specialty Date
Interstitial Laser Therapy — CPB 0781 | AETNA Coverage Update AETNA Modified Interventional Procedures Sep 26, 2025
Non-Participating Laboratory Services — A001 | CIGNA Coverage Update CIGNA Modified Laboratory Sep 26, 2025
Midwife, Home Birth and Non-Clinical Maternal Services — A002 | CIGNA Coverage Update CIGNA Modified OB/GYN Sep 26, 2025
Emergency Room Services — A005 | CIGNA Coverage Update CIGNA Modified Emergency Medicine Sep 26, 2025
Abortion — A006 | CIGNA Coverage Update CIGNA Modified OB/GYN Sep 26, 2025
Custodial and Non-Skilled Services — A012 | CIGNA Coverage Update CIGNA Modified DME & Home Health Sep 26, 2025
Oral Appliances for the Treatment of Obstructive Sleep Apnea — A016 | CIGNA Coverage Update CIGNA Modified Pulmonology Sep 26, 2025
Cigna Healthcare Medicare Advantage Coverage Policy Development and Application — A018 | CIGNA Coverage Update CIGNA Modified General / Multi-Specialty Sep 26, 2025
Enteral Formula and Supplies — A022 | CIGNA Coverage Update CIGNA Modified DME & Home Health Sep 26, 2025
Gender Dysphoria Treatment - State Guidelines — CP 0266 | CIGNA Coverage Update CIGNA Modified Behavioral Health Sep 26, 2025
Acupuncture — CPG024 | CIGNA Coverage Update CIGNA Modified Pain Management Sep 26, 2025
Spinal Ultrasound — CPG038 | CIGNA Coverage Update CIGNA Modified Radiology & Imaging Sep 26, 2025
Patient Assessments: Medical Necessity Decision Assist Guideline for Evaluations and Re-evaluations — CPG111 | CIGNA Coverage Update CIGNA Modified General / Multi-Specialty Sep 26, 2025
Range of Motion Testing — CPG146 | CIGNA Coverage Update CIGNA Modified Physical Medicine & Rehab Sep 26, 2025
Sensory and Auditory Integration Therapy - Facilitated Communication — CPG149 | CIGNA Coverage Update CIGNA Modified Behavioral Health Sep 26, 2025
Complex Lymphedema Therapy (Complete Decongestive Therapy) — CPG157 | CIGNA Coverage Update CIGNA Modified Physical Medicine & Rehab Sep 26, 2025
Home Traction Devices - Cervical and Lumbar — CPG265 | CIGNA Coverage Update CIGNA Modified Orthopedics & Spine Sep 26, 2025
Cognitive Rehabilitation — CPG270 | CIGNA Coverage Update CIGNA Modified Physical Medicine & Rehab Sep 26, 2025
Electric Stimulation for Pain, Swelling and Function in a Clinic Setting — CPG272 | CIGNA Coverage Update CIGNA Modified Pain Management Sep 26, 2025
Axial/Spinal Decompression Therapy/Mechanical Traction (Provided in a Clinic Setting) — CPG275 | CIGNA Coverage Update CIGNA Modified Orthopedics & Spine Sep 26, 2025
Minimally Invasive Anti-Reflux Procedures and Peroral Endoscopic Myotomy (POEM) Procedures - (0019) — MM 0019 | CIGNA Coverage Update CIGNA Modified Gastroenterology Sep 26, 2025
Wheelchairs/Power Operated Vehicles - (0030) — MM 0030 | CIGNA Coverage Update CIGNA Modified DME & Home Health Sep 26, 2025
Glaucoma Surgical Procedures - (0035) — MM 0035 | CIGNA Coverage Update CIGNA Modified Ophthalmology Sep 26, 2025
Hospital Beds and Pressure Reducing Support Surfaces - (0042) — MM 0042 | CIGNA Coverage Update CIGNA Modified DME & Home Health Sep 26, 2025
Blepharoplasty, Reconstructive Eyelid Surgery, and Brow Lift - (0045) — MM 0045 | CIGNA Coverage Update CIGNA Modified Ophthalmology Sep 26, 2025

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