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Cigna is next payor to discontinue payment of consultation services

September 09, 2019
Area(s) of Interest: Practice Management Payor Issues and Reimbursement 


Cigna is the latest payor to announce that it will no longer reimburse consultation services, effective for claims processed on or after October 19, 2019. Consultation services previously represented by CPT codes 99241-99245 and 99251-99255 will need to be billed utilizing the appropriate evaluation and management (E/M) procedure code that describes the office visit, hospital care, nursing facility care, home service or domiciliary/rest home care.

Cigna’s announcement follows on the heels of a newly effective UnitedHealthcare policy to no longer reimburse consultation services for its commercial product lines.  

Providers with questions or concerns regarding the policy change can contact Cigna at (800) 882-4462.

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