Prior Auth Required

33254 - (CPT®) codes , , , , and , which are considered experimental

This procedure appears on the selected insurer prior authorization source.

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Procedure / Service(CPT®) codes , , , , and , which are considered experimental
Procedure / Service Description

update the processing of claims for maze procedures billed with Current Procedural Terminology - Maze procedures considered experimental, investigational, or unproven (EIU) Cigna will update the processing of claims for maze procedures billed with Current Procedural Terminology (CPT®) codes 33254, 33255, 33258, 33265, and 33266, which are considered experimental, investigational, or unproven (EIU) in most cases. Effective for dates of service on or after August 26, 2022,* these CPT codes will require precertification and review by a Cigna cardiologist, who

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.