Cigna Updates Its PT Coverage Policy

April 7, 2021
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CIGNA has issued an updated PT/OT coverage policy which can be found at:

This policy provides that CIGNA will not pay for:

  • Infrared
  • Vaso
  • Work hardening
  • H-Wave
  • Dry needling
  • Taping
  • Laser

This policy also includes CIGNA’s PT/OT documentation requirements. Among other general requirements, these documentation requirements provide:

  • The eval/POC must include long and short-term goals
  • Treatment notes must include total treatment time (in minutes)
  • “Intermittent” progress reports are required. CIGNA does not specify when PRs are required but using Medicare’s rule requiring a progress report every 10 visits should suffice
  • Discharge reports are required