WebMedical directors are expected to exercise clinical judgment and have discretion in making individual coverage determinations. Coverage Policies relate exclusively to the administration of health benefit plans. Coverage Policies are not recommendations for treatment and should never be used as treatment guidelines. In certain markets, WebThe following coverage policy applies to health benefit plans administered by Cigna. Coverage policies are intended to provide guidance in interpreting certain standard Cigna benefit plans and are used by medical directors and other health care professionals in making medical necessity and other coverage determinations.

Access Coverage Policies Cigna

Web621 Medical surgical supplies incidentals, radiology 622 Medical surgical supplies incidental to other diagnostic services 624 U.S. Food and Drug Administration (FDA) investigational devices 631 Drug, single 632 Drug, multi 634 Pharmacy, extension of 025X erythropoietin (EPO) less than 10,000 units optical eye care league city

Professional/Technical Component Policy, Professional

WebYou are responsible for submission of accurate claims. This reimbursement policy is intended to ensure that you are reimbursed based on the code or codes that correctly describe the health care services provided. UnitedHealthcare Community Plan reimbursement policies uses Current Procedural Terminology (CPT®*), Centers for … WebOffered by: Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company or their affiliates. ... To access our Preventive Care policy, and to get … Webinterpretation and report on fracture-risk only by other qualified health care professional: CPT codes not covered for indications listed in the CPB: ... Rockville, MD: Agency for Health Care Policy and Research (AHCPR); March 1996. Elliott ME, Binkley N. Evaluation and measurement of bone mass. Epilepsy Behav. 2004;5 Suppl 2:S16-S23. portishead argos