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CommercialAdministrativeHigh impact

Clinical, reimbursement, and administrative policy updates

Cigna·Claims & Billing
Effective date
Aug 17, 2024
We identified it
Jun 19, 2026
Days to comply

Summary

Cigna Healthcare has implemented multiple administrative claim denial policies affecting billing procedures, code editing, and diagnosis requirements. Key changes include denying certain revenue codes on professional claims, adding bundling restrictions for specific CPT codes, and requiring more specific diagnosis coding to prevent automatic denials.

Action Required

Action needed
Immediately: Update billing software to prevent administrative denials by implementing the following rules: 1) Deny revenue codes 960-989 on UB-04 forms for professional services - use CMS-1500 instead, 2) Flag CPT codes 76376 and 76377 as incidental when billed by facilities, 3) Add bundling edits for CPT codes 38204, 92921, 92925, 92929, 92934, 92938, 92944, 97602 and HCPCS A4262, A4263, 4) Require specific laterality diagnosis codes - reject claims with only unspecified laterality codes, 5) Block listed Z-codes as sole diagnosis codes, 6) Prevent modifier 50 billing with unilateral procedures, 7) Add frequency limits for behavioral health and lab codes per CMS guidelines. Train billing staff on new denial patterns and update claim scrubbing rules to catch errors before submission.

Affected Billing Codes

76377
76376
38204
92921
92925
92929
92934
92938
92944
97602
A4262
A4263
82746
82747
86000
86161
86235
86255
86256
86316
86403
86406
90840
90845
90846
90847
90849
90853
90863
95012
96146
97151
97152
97153
97154
97155
97156
97157
97158
G0447
G0451
G0473
Q4050
Z02.0
Z02.1
Z02.2
Z02.3
Z02.4
Z02.5
Z02.6
Z02.71
Z02.79
Z02.82
Z02.83
Z02.89
Z02.9
Z13.9
Z56.1
Z62.21
Z63.6