Cigna announced that, effective August 26, 2016, balloon sinuplasties (31295, 31296, 31297) will require pre-certification.Stay up to date on the latest from your payers by subscribing to their newsletters. You can subscribe to Cigna on their website.
In a time of constantly changing healthcare, it is pertinent to stay on top of these seemingly endless updates and changes. Make sure that your billing staff signs up to receive newsletters from all of your major payers (check their websites) to receive timely and up-to-date information.
Cignia has other changes affecting otolaryngology as well. Cigna has a new medical coverage policy for Balloon Sinus Ostial Dilation for Chronic Sinusitis that was effective July 15, 2016. Check it out: Cigna Medical Coverage Policy (PDF).