Posted in Insurance, Training, Updates

Cigna: Clinical, Reimbursement Policy Updates (Q1,2021)

The following updates for Clinical, Reimbursement, and Administrative Policies apply to ALL Cigna plans, including GWH-Cigna with “G” on the card.

To read the complete Cardiac Rhythm Implantable Device Guidelines (by eviCore), please click here.

Bariatric Surgery and Procedures: A very common question that I receive, from surgeons-Is hiatal hernia repair, if done with another Bariatric surgery procedure or major esophagogastric procedure, paid separately? I always remind the surgeons that even if the code exists it does not mean that it is reimbursed separately. Below, please see the the CIGNA updated policy.

Source: Cigna Policy Updates Q1.