Musculoskeletal Program Policy Updates - Cigna
CMM 313 Hip Arthroplasty - Total and Partial . 27120, 27122, 27125, 27130, 27132, 27134, 27137, 27138, 27090, 27091, 27282, 27284, 27286 ; Procedures that will now require review for medical necessity as part of the new precertification requirements include: • Partial hip resurfacing arthroplasty • Total hip resurfacing arthroplasty
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