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Summary of Provider Newsroom U.S. commercial medical articles

Cigna·General
Effective date
Oct 1, 2025
We identified it
Jun 18, 2026
Days to comply

Summary

This is a summary compilation of September 2025 Provider Newsroom articles covering various updates including new E&M reimbursement policy R49 effective October 1, portal access changes, physical therapy site-of-care reviews, and clinical guidance on vaccines, cancer screening, and medication management.

Action Required

Action needed
By October 1, 2025: Billing team must review new reimbursement policy R49 for E&M codes 99204-99205, 99214-99215, and 99244-99245 to ensure coding accuracy compliance. Update portal access procedures as IFP content moves from Availity Essentials to CignaforHCP.com effective October 10. Physical therapy providers must coordinate with American Specialty Health for outpatient hospital PT/OT medical necessity reviews beginning October 1.

Affected Billing Codes

99204
99205
99214
99215
99244
99245
J1299