Cigna · PayerPolicy · CIGNA-0121
Summary of the payer’s published policy. Not a coverage determination — confirm with Cigna before submitting.
Free account. Policy pages stay open to everyone.
Each code’s status is what the policy records for it. This page does not show the policy’s criteria. Read them in the payer’s source.
| Code | Code system | Status in this policy |
|---|---|---|
| 83993 | CPT | Covered |
| K50.00 | ICD10CM | Covered |
| K50.011 | ICD10CM | Covered |
| K50.012 | ICD10CM | Covered |
| K50.013 | ICD10CM | Covered |
| K50.014 | ICD10CM | Covered |
| K50.018 | ICD10CM | Covered |
| K50.019 | ICD10CM | Covered |
| K50.10 | ICD10CM | Covered |
| K50.111 | ICD10CM | Covered |
| K50.112 | ICD10CM | Covered |
| K50.113 | ICD10CM | Covered |
| K50.114 | ICD10CM | Covered |
| K50.118 | ICD10CM | Covered |
| K50.119 | ICD10CM | Covered |
| K50.80 | ICD10CM | Covered |
| K50.811 | ICD10CM | Covered |
| K50.812 | ICD10CM | Covered |
| K50.813 | ICD10CM | Covered |
| K50.814 | ICD10CM | Covered |
| K50.818 | ICD10CM | Covered |
| K50.819 | ICD10CM | Covered |
| K50.90 | ICD10CM | Covered |
| K50.911 | ICD10CM | Covered |
| K50.912 | ICD10CM | Covered |
| K50.913 | ICD10CM | Covered |
| K50.914 | ICD10CM | Covered |
| K50.918 | ICD10CM | Covered |
| K50.919 | ICD10CM | Covered |
| K51.00 | ICD10CM | Covered |
| K51.011 | ICD10CM | Covered |
| K51.012 | ICD10CM | Covered |
| K51.013 | ICD10CM | Covered |
| K51.014 | ICD10CM | Covered |
| K51.018 | ICD10CM | Covered |
| K51.019 | ICD10CM | Covered |
| K51.20 | ICD10CM | Covered |
| K51.211 | ICD10CM | Covered |
| K51.212 | ICD10CM | Covered |
| K51.213 | ICD10CM | Covered |
| K51.214 | ICD10CM | Covered |
| K51.218 | ICD10CM | Covered |
| K51.219 | ICD10CM | Covered |
| K51.30 | ICD10CM | Covered |
| K51.311 | ICD10CM | Covered |
| K51.312 | ICD10CM | Covered |
| K51.313 | ICD10CM | Covered |
| K51.314 | ICD10CM | Covered |
| K51.318 | ICD10CM | Covered |
| K51.319 | ICD10CM | Covered |
| K51.40 | ICD10CM | Covered |
| K51.411 | ICD10CM | Covered |
| K51.412 | ICD10CM | Covered |
| K51.413 | ICD10CM | Covered |
| K51.414 | ICD10CM | Covered |
| K51.418 | ICD10CM | Covered |
| K51.419 | ICD10CM | Covered |
| K51.50 | ICD10CM | Covered |
| K51.511 | ICD10CM | Covered |
| K51.512 | ICD10CM | Covered |
| K51.513 | ICD10CM | Covered |
| K51.514 | ICD10CM | Covered |
| K51.518 | ICD10CM | Covered |
| K51.519 | ICD10CM | Covered |
| K51.80 | ICD10CM | Covered |
| K51.811 | ICD10CM | Covered |
| K51.812 | ICD10CM | Covered |
| K51.813 | ICD10CM | Covered |
| K51.814 | ICD10CM | Covered |
| K51.818 | ICD10CM | Covered |
| K51.819 | ICD10CM | Covered |
| K51.90 | ICD10CM | Covered |
| K51.911 | ICD10CM | Covered |
| K51.912 | ICD10CM | Covered |
| K51.913 | ICD10CM | Covered |
| K51.914 | ICD10CM | Covered |
| K51.918 | ICD10CM | Covered |
| K51.919 | ICD10CM | Covered |
| K58.0 | ICD10CM | Covered |
| K58.1 | ICD10CM | Covered |
| K58.2 | ICD10CM | Covered |
| K58.8 | ICD10CM | Covered |
| K58.9 | ICD10CM | Covered |
| K59.31 | ICD10CM | Covered |
| R19.7 | ICD10CM | Covered |