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Cigna.

Changes in Allergy Testing and Non-Pharmacologic Treatment policy


Cigna starts  limiting coverage for allergy testing in a 12-month rolling period for claims billed with certain CPT codes. 

The affected CPT codes are 86003 – 80 units, 95004 – 80 units, and 95024 – 40 units. The current medical coverage policy, Allergy Testing and Non-Pharmacologic Treatment, will be updated to reflect this change.


Note: Only the line item for the CPT codes listed above will be affected.


The effective date for the above changes is February 17, 2020 for dates of service beginning on this date.


Source: https://www.cigna.com/sites/email/2020/937483-2020-q1-network-news.pdf

Insights
February 2020