New Letters from Cigna on PCCP Payment

August 4, 2022

In an unexpected but welcomed turn of events, Cigna is notifying impacted providers of a delay in the implementation of their reimbursement policy change to pay the Professional Component of Clinical Pathology codes (modifier 26 claims) at a rate of $5 per test.  The policy was set to go into effect July 1, 2022 for provider groups tied to provider specific fee schedules.  Per Cigna, as a result of conversations held with their provider partners, they are delaying the policy change and reevaluating the policy.  Cigna does note that they plan to implement the policy update in the future, and will notify impacted providers in advance.  APS will continue to monitor and provide updates as they become available.

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