PacificSource Communication Updates
Cigna Communication Updates
Anesthesia Time Unit Reimbursement
Consistent with industry standards for anesthesia reimbursement, Cigna's calculation of anesthesia time units will change. Beginning May 1, 2021, reimbursement will be based on actual time billed, rounded to the nearest tenth of a fifteen-minute unit. Therefore, providers may experience a change in their reimbursement for covered services based on this update. Please note this change does not affect a provider’s contracted rate for these services.
Care Integration Services
For claims submitted on and after January 17, 2021, Cigna will begin to reimburse care integration services billed for the following Current Procedural Terminology (CPT®) and Healthcare Common Procedure Coding System (HCPCS) codes:
• CPT codes 99495 and 99496: Transitional care management services
• CPT codes 99497 and 99498: Advance care planning
• HCPCS codes S0353 and S0354: Oncology care planning
For information about Cigna's interim billing guidelines and FAQs, click here.