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Board approves Cigna PPO appeal and authorizes associated billing codes for dependent's surgical decompression
Summary
The board approved a Medical & Life Committee recommendation to authorize coverage for a dependent's surgical decompression under the self-insured Cigna PPO plan, including related CPT codes that consultants had questioned. The committee heard Cigna and the patient describe why multiple surgeons and codes were necessary.
The Metropolitan Employee Benefit Board approved coverage for a dependent of a fire-department employee seeking surgical decompression under the self-insured Cigna PPO plan and instructed Cigna to process all necessary associated billing codes.
Paul Huffman of Cigna explained the preauthorization had been denied as…
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