11 commercial payer policies list S1040. 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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11 policies from 9 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of S1040 |
|---|---|---|
| Cigna Commercial DME Code List - Effective 03/07/2026 | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List - Effective 03/07/2026 | Mar 7, 2026 | Prior auth required |
| Policy | Effective | Status of S1040 |
|---|---|---|
| Durable Medical Equipment, Orthotics, Medical Supplies, and Repairs/Replacements | Feb 1, 2026 | Covered |
| Plagiocephaly and Craniosynostosis Treatment |
| Jan 1, 2026 |
| Covered |
| Policy | Effective | Status of S1040 |
|---|---|---|
| CG-OR-PR-04 Cranial Remodeling Bands and Helmets (Cranial Orthoses) | Jan 30, 2025 | Covered |
| Policy | Effective | Status of S1040 |
|---|---|---|
| Adjustable Cranial Orthoses for Positional Plagiocephaly and Craniosynostoses | Jun 15, 2026 | Covered |
| Policy | Effective | Status of S1040 |
|---|---|---|
| Adjustable Cranial Orthoses for Positional Plagiocephaly and Craniosynostoses | Jun 15, 2026 | Covered |
| Policy | Effective | Status of S1040 |
|---|---|---|
| Adjustable Cranial Orthoses for Positional Plagiocephaly and Craniosynostoses | Jun 15, 2026 | Covered |
| Policy | Effective | Status of S1040 |
|---|---|---|
| Adjustable Cranial Orthoses for Positional Plagiocephaly and Craniosynostoses | Jun 15, 2026 | Covered |
| Policy | Effective | Status of S1040 |
|---|---|---|
| Plagiocephaly and Craniosynostosis Treatment | Jan 1, 2026 | Covered |
| Policy | Effective | Status of S1040 |
|---|---|---|
| Plagiocephaly and Craniosynostosis Treatment | Jan 1, 2026 | Covered |