5 commercial payer policies list 21742. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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5 policies from 4 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 21742 |
|---|---|---|
| Cigna Commercial Other Services Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Policy | Effective | Status of 21742 |
|---|---|---|
| Pectus Excavatum and Poland's Syndrome: Surgical Correction | Apr 27, 2023 | Covered |
| Policy | Effective | Status of 21742 |
|---|---|---|
| Cosmetic and Reconstructive Services of the Trunk, Groin, and Extremities | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 21742 |
|---|---|---|
| Pectus Excavatum and Carinatum Treatment | Sep 1, 2026 | Covered |