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Cigna Watch

April 6, 2008

Cigna Preventive Care Services

Directly from the Cigna newsletter; "most Cigna Healthcare plans cover the full cost of preventive care services". Here are there recommendations:

Well-Person Exam ICD9: V7x.x CPT:99381-99387 / 99391-99397

Routine Immunizations: ICD9: V03.x CPT: 90632-90600 / 90669 / 90680 / 90700-90716 / 90718-90723 / 90732

Prostate Cancer Screen (over 50 or risk factors) ICD9: nothing specific exist, use general V7x.x CPT: G0XXX prostate screening: 841XX / 851XX, 84152, 84154

Cervical Cancer Screen (every 3 years age 19-64) ICD9: V76.2 CPT: 88141-88148 / 88150-88155 / 88164-88167 / 88174-88175

Breast Cancer Screening (age 40, or risk factors) ICD9: V76.X CPT: 77051 / 77052 / 77055 77056 77057

Colorectal Cancer Screen (routinely at 50) - Colonoscopy every 10 years, Sigmoidoscopy every 5 years, Fecal Occult Blood annually, or Barioum Enema every 5 years:
ICD9: V76.X CPT: 45378 / 45330 / 82270 / 74270

Chlamydia Screening for sexually active females under 25, Osteoporisis screening (Women over 65 or over 60 with risk factors), AAA by US for men 65-75 who smoked.
ICD9: V73.X, V82.8X, V82.X CPT: 87270 / 87320 / 87490 / 87491 / 76070 - 76071 / 76076 - 76077 / 76700 / 76705 / 80061 / 82465 / 83718-83721 / 84478 / 82947

Posted on Sunday, April 06, 2008 at 9:14 PM

Posted in Insurance (RSS)