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Cigna Healthcare supports colorectal cancer screening
Cigna·Family Medicine, Internal Medicine, Gastroenterology +1 more·Coding
Effective date
Jan 1, 2025
We identified it
Jun 19, 2026
Summary
Cigna Healthcare updated colorectal cancer screening requirements for HEDIS 2025, moving to electronic clinical data systems reporting only and no longer accepting medical record reviews. Providers must use specific CPT and HCPCS codes when billing for colorectal cancer screening procedures.
Action Required
Before 2025 HEDIS measurement year begins: Billing team must ensure all colorectal cancer screening procedures use the specified CPT and HCPCS codes listed in the policy. Update billing system to capture electronic clinical data for HEDIS reporting since manual medical record reviews will no longer be accepted for colon cancer screening measures.