Transcription of Cigna Medical Coverage Policy - SuperCoder
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Cigna Medical Coverage Policy - SuperCoder
Page 1 of 75 Coverage Policy Number: 0068 Cigna Medical Coverage Policy Subject Tissue-Engineered Skin Substitutes Effective Date .. 9/15/2014 Next Review Coverage Policy Number .. 0068 Table of Contents Coverage Policy .. 1 General Background .. 12 Coding/Billing Information .. 45 References .. 62 Hyperlink to Related Coverage Policies Allograft Transplantation of the Knee Autologous Platelet Derived Growth Factors (Platelet-Rich Plasma [PRP]) Becaplermin (Regranex ) Bone Graft Substitutes for Use in Bone Repair Breast Reconstruction Following Mastectomy or Lumpectomy Electrical Stimulation Therapy and Devices Hyperbaric Oxygen Therapy, Systemic & Topical Lumbar Fusion for Spinal Instability and Degenerative Disc Conditions, Including Sacroiliac Fusion Negative Pressure Wound Therapy/Vacuum-Assisted Closure (VAC) for Non-Healing Wounds Plantar Fasciitis Treatments Pulsed Electromagnetic Therapy Scar Revision INSTRUCTIONS FOR USE The following Coverage Policy applies to health benefit plans administered by Cigna companies.
significantly from the standard benefit plans upon which these Coverage Policies are based. For example, a customer’s benefit plan document may contain a specific exclusion related to a topic addressed in a Coverage Policy.
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