9 commercial payer policies list 25259. 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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9 policies from 7 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 25259 |
|---|---|---|
| Cigna Commercial Joint Surgery Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Manipulation Under Anesthesia | Sep 15, 2026 | Not covered |
| Policy | Effective | Status of 25259 |
|---|---|---|
| Manipulation Under General Anesthesia | Mar 29, 2023 | Covered |
| Policy | Effective | Status of 25259 |
|---|---|---|
| Oct 1, 2026 |
| Covered |
| Policy | Effective | Status of 25259 |
|---|---|---|
| Manipulation Under Anesthesia | Dec 1, 2025 | Covered |
| Policy | Effective | Status of 25259 |
|---|---|---|
| Manipulation Under Anesthesia | Feb 1, 2026 | Covered |
| Policy | Effective | Status of 25259 |
|---|---|---|
| Manipulation Under Anesthesia | Feb 1, 2026 | Covered |
| Policy | Effective | Status of 25259 |
|---|---|---|
| Manipulation Under Anesthesia | Feb 1, 2026 | Covered |