Molecular Diagnostic Testing for Hematology and Oncology ...

General Criteria for Somatic Mutation Genetic Testing ... initiate a related therapy and the therapy has been validated by the National Comprehensive Cancer Network™ (NCCN Guidelines™) as a category 1, 2A, or 2B recommendation for the ... Detection of circulating whole tumor cells for any other indication is considered experimental,

  Detection, Validated, Mutation

Bariatric Surgery and Procedures - Cigna

This Coverage Policy addresses bariatric surgery and procedures for the treatment of morbid obesity. Coverage Policy . Coverage for bariatric surgery or revision of a bariatric surgery procedure varies across plans and may be governed by state mandates. Refer to the customer’s benefit plan document for coverage details.

  Surgery, Bariatric, Bariatric surgery

Anesthesia Services for Interventional Pain Management ...

Monitored anesthesia care (MAC) is a service rendered by an anesthesia practitioner (i.e., anesthesiologist, certified registered nurse anesthetist CRNA]) who is not involved in the diagnostic or procedural service being performed. The ASA defines MAC as

  Services, Management, Pain, Anesthesia, Interventional, Monitored, Monitored anesthesia, Anesthesia services for interventional pain management

REVENUE CODE LIST-CPT-HCPCS - Cigna

REVENUE CODE LIST-CPT-HCPCS For Providers Effective March 15, 2020 . All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, includingCigna Health and Life Insurance Company, Connecticut General Life Insurance Company, Cigna Behavioral Health, Inc., and HMO or service

  Code, Revenue, Revenue codes

Minimally Invasive Spine Surgery Procedures and Trigger ...

Trigger Point: Trigger point injection therapy involves the injection of anesthetic or corticosteroids into distinct, focal hyper-irritable spots (i.e., trigger points) located in a tight band of skeletal muscle. Myofascial pain syndrome is a chronic form of muscle pain centered near trigger points.

  Triggers

Diabetes Equipment and Supplies

• hypoglycemic wristband alarm (e.g., Diabetes Sentry™) External Insulin Pumps . ANY of the following external insulin pumps * is considered medically necessary for the management of type 1 and type 2 diabetes mellitus: • an external insulin pump* (HCPCS code E0784) including a combined or integrated continuous

  Hypoglycemic

Welcome to Cigna Behavioral Health

The practitioner has thirty (30) days from the receipt of the suspension or termination letter to make a written request for reconsideration. Cigna Behavioral Health's Credentialing Committee Appeal Panel will review the appeal at its next monthly meeting and issue a written notification of the outcome to the practitioner.

  Practitioner

Speech Therapy - Cigna

speech-language pathologist for a significant voice disorder associated with the laryngeal structures that are associated with anatomic abnormality, neurological condition, injury (e.g., vocal nodules or polyps, vocal cord paresis or paralysis, paradoxical vocal …

  Paralysis, Laryngeal

Nucleic Acid Pathogen Testing - Cigna

o human papillomavirus (HPV) cervical cancer screening • Symptomatic individuals when the associated signs and symptoms or diagnoses, are listed in the ... Chlamydial infection is the most frequently reported infectious disease in the United States (IDSA, 2018; CDC,

  Pathogens, Testing, Human, Acid, Infections, Cervical, Nucleic, Papillomavirus, Human papillomavirus, Nucleic acid pathogen testing

Transcranial Magnetic Stimulation

Transcranial Magnetic Stimulation (TMS) for Depression . Transcranial magnetic stimulation (TMS) is a non-invasive neurostimulation technique that modulates cortical excitability. In repetitive TMS (rTMS), trains of several pulses are delivered through repeated stimulation over the same area with frequencies ranging from 1 to 20 Hz.

  Stimulation

HEALTH PRODUCTS MENTIONED IN THIS ISSUE

Lupron and Lupron Depot (leuprolide acetate) The Warnings and Precautions, Adverse Reactions (Post-market Adverse Drug Reactions), and Patient Medication Information sections of the Canadian product monograph for Lupron and Lupron Depot have been updated with the risk of pseudotumor cerebri/idiopathic intracranial hypertension in pediatric patients

  Lupron

Preferred Drug Formulary - Maxor

LUPRON DEPOT 3.75 MG, 11.25 MG [INJ] LUPRON DEPOT-PED [INJ] LYNPARZA LYUMJEV [INJ] M MAYZENT meclizine medroxyprogesterone metformin metformin ext-release methimazole methocarbamol methotrexate methylphenidate methylphenidate ext-release methylprednisolone metoclopramide metoprolol succinate ext-release metoprolol tartrate metronidazole

  Lupron

CIGNA NATIONAL PREFERRED 3-TIER PRESCRIPTION DRUG …

LUPRON DEPOT 3.75 MG, 11.25 MG (PA) LUPRON DEPOT-PED (PA) medroxyprogesterone methimazole methylprednisolone MYFEMBREE (PA) ethylprednisolone NATESTO (PA) NORDITROPIN (PA) ORIAHNN (PA) ORILISSA (PA) prednisolone sodium phosphate prednisone PREMARIN CREAM SOMAVERT (PA) SYNAREL (PA) testosterone cypionate (PA) …

  Cigna, Lupron

Infusion Coding - AAPC

•Lupron •Bleomycin •Fulvestrant •Azacitidine. 15 29 Billable Units •Each code is assigned a unit value •Bill in multiples of that value •Critical in correct coding and reimbursement 30 Rounding •ASCO printed guidelines •No official rule •MDVs –round up to nearest whole unit. 16 31

  Infusion, Lupron

PRESCRIPTION DRUG LIST CHANGES - Cigna

June 22, 2021 CANCER Orgovyx1 Lupron Depot June 15, 2021 GASTROINTESTINAL/HEARTBURN Lubiprostone 8 mcg, 24 mcg capsule Amitiza June 1, 2021 SKIN CONDITIONS Winlevi 1% cream Generic products (e.g. adapalene; tretinoin; clindamycin-benzoyl peroxide) Wynzora 0.005%-0.064% cream betamethasone DP, fluocinolone, fluticasone,

  Prescription, Change, Drug, Lists, Cigna, Lupron, Prescription drug list changes

Lupron Depot®, Lupron Depot-Ped®, Eligard® (leuprolide ...

Feb 06, 2018 · Lupron Depot 1-Month 3.75 mg 1 injection 28 days Lupron Depot 1-Month 7.5 mg 1 injection 28 days Lupron Depot 3-Month 11.25 mg 1 injection 84 days Lupron Depot 3-Month 22.5 mg 1 injection 84 days Lupron Depot 4-Month 30 mg 1 injection 112 days Lupron Depot 6-Month 45 mg 1 injection 168 days

  Lupron

Provider Administered Specialty Drugs

Provider Administered Specialty Drugs* Current 1/1/22 . LDD: Limited Distribution Drug (Dispensing pharmacy can be found here: Limited Distribution Drugs ); PA: Prior Authorization; QL: Quantity Limit