Cigna medical policy for cpt 87624

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August undefined, 2024

Web87624: Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) ICD-10 … Webthe information in an Administrative Policy. Coverage determinations require consideration of 1) the terms of the applicable benefit plan document; 2) any applicable …

Qualified Health Plan (QHP) Transparency in Coverage Cigna

WebMedical directors are expected to exercise clinical judgment and have discretion in making individual coverage determinations. Coverage Policies relate exclusively to the administration of health benefit plans. Coverage Policies are not recommendations for treatment and should never be used as treatment guidelines. In certain markets, Web621 Medical surgical supplies incidentals, radiology 622 Medical surgical supplies incidental to other diagnostic services 624 U.S. Food and Drug Administration (FDA) investigational devices 631 Drug, single 632 Drug, multi 634 Pharmacy, extension of 025X erythropoietin (EPO) less than 10,000 units how green is natural gas heating

Molina Clinical Policy - Molina Healthcare

WebThe following coverage policy applies to health benefit plans administered by Cigna. Coverage policies are intended to provide guidance in interpreting certain standard Cigna benefit plans and are used by medical directors and other health care professionals in making medical necessity and other coverage determinations. WebJun 25, 2024 · Utilization Management. This page lists Corporate Molina Clinical Policies (MCPs) and Molina Clinical Reviews (MCRs). Please check your State’s website for policies that contain State-specific language or requirements in addition to what is listed in the Corporate policy. Applicable information is listed in the Appendix at the end of policies. WebCigna Medical Coverage Policy. Subject Obstructive Sleep Apnea Diagnosis and Treatment Services ... (CPT) or Health Care Procedure Coding System (HCPCS) codes: 95800: Sleep study, unattended, simultaneous recording: heart rate, oxygen saturation, ... Cigna covers in-facility PSG (CPT code 95811) for PAP titration, following a prior … how green is the uk

Cigna medical policy for cpt 87624

Webservice. Benefit coverage for health services is determined by the member specific benefit plan document and applicable laws that may require coverage for a specific service. The … WebCigna covers SI joint injection (CPT code 27096, HCPCS code G0260) for the treatment of back pain associated with localized SI joint pathology (e.g., inflammatory arthritis) confirmed on imaging studies. Cigna does not cover SI joint injection (CPT code 27096) for the diagnosis or treatment of acute,

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WebMar 15, 2024 · The following coverage policy applies to health benefit plans administered by Cigna. Coverage policies are intended to provide guidance in interpreting certain standard Cigna benefit plans and are used by medical directors and other health care professionals in making medical necessity and other coverage determinations. WebAetna Clinical Policy Bulletins. Our Clinical Policy Bulletins (CPBs) explain the medical, dental and pharmacy services we may or may not cover. They are based on objective, credible sources, such as the scientific literature, guidelines, consensus statements and expert opinions. Medical Clinical Policy Bulletins. Dental Clinical Policy Bulletins.

WebJan 4, 2024 · The 5-year relative survival rate for localized cervical cancer is 92% (ACS, 2024b). Cervical cancer screening comprises cervical cytology with Papanicolaou testing (also known as a ‘Pap smear’ or “Pap test”), and testing for human papillomavirus (HPV) DNA. Pap tests are used to identify pre-cancerous or cancerous cells present on the ...

Webthe terms of the applicable coverage plan document in effect on the date of service. any applicable laws/regulations. any relevant collateral source materials, including coverage policies. the specific facts of the particular situation. Medical technology is continuously evolving; our coverage policies are subject to change without prior notice.

WebThe 87624 CPT code can be billed for lab tests to detect high-risk human papillomavirus in patients with nucleic acid detection. ... Billing Guidelines. Use only CPT 87624 when conducting a single assay that includes both low-risk and high-risk HPV types. ... CPT 21199 describes the surgical procedure in which the healthcare provider makes an ... how green is electricityWebMar 15, 2024 · recommendations for treatment and should never be used as treatment guidelines. This evidence-based medical coverage policy has been developed by … highest pmhnp salaryWebJun 4, 2024 · The following ICD-10-CM code supports medical necessity and provides coverage for HCPCS code: G0476. Group 1 Codes. Code. Description. Z11.51*. Encounter for screening for human papillomavirus (HPV) Group 1 Medical Necessity ICD-10-CM Codes Asterisk Explanation. Z11.51 must be reported with one of the secondary … how green is electric carsWebYou are responsible for submission of accurate claims. This reimbursement policy is intended to ensure that you are reimbursed based on the code or codes that correctly describe the health care services provided. UnitedHealthcare reimbursement policies may use Current Procedural Terminology (CPT®*), Centers for Medicare and Medicaid Services highest point 4 letter crosswordWebJul 11, 2024 · The medical record MUST support that the test was completed in a Part B setting that is equipped to deliver timely results AND for patients where the test ... The following ICD-10-CM codes support medical necessity and provide coverage for CPT codes: 87428, 87631, 87636, 87637, 87913, 0240U, and 0241U when used in the … how green is my valley tvWeb• 87624-87625, 0500T G0476 (HPV testing) under the following circumstances: – for a female member less than age 30 on the date of service if the only diagnosis is a … highest point 7 little wordsWebThe following coverage policy applies to health benefit plans administered by Cigna. Coverage policies are intended to provide guidance in interpreting certain standard … highest point 6 letters crossword