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Cigna Medicare Advantage Membership Clinical Guidelines.
For Cigna Commercial membership guidelines click here.
Supplemental Information
Durable Medical Equipment Guidelines
Hi Tech Imaging and Cardiology Guidelines
- Clinical Information to Establish Medical Necessity
- Preface to the Imaging Guidelines
- Site of Care: High-Tech Radiology
- Site of Care: High-tech Radiology
General
- Abdomen Imaging Guidelines
- Breast Imaging Guidelines
- Cardiac Imaging Guidelines
- Cardiac Implantable Devices (CID) Guidelines
- Chest Imaging Guidelines
- Head Imaging Guidelines
- Musculoskeletal Imaging Guidelines
- Neck Imaging Guidelines
- Oncology Imaging Guidelines
- Pelvis Imaging Guidelines
- Peripheral Nerve Disease (PND) Imaging Guidelines
- Peripheral Vascular Disease (PVD) Imaging Guidelines
- Spine Imaging Guidelines
Pediatric
- Pediatric Abdomen Imaging Guidelines
- Pediatric Abdomen Imaging Guidelines
- Pediatric and Special Populations Oncology Imaging Guidelines
- Pediatric and Special Populations Oncology Imaging Guidelines
- Pediatric Cardiac Imaging Guidelines
- Pediatric Cardiac Imaging Guidelines
- Pediatric Chest Imaging Guidelines
- Pediatric Chest Imaging Guidelines
- Pediatric Head Imaging Guidelines
- Pediatric Musculoskeletal Imaging Guidelines
- Pediatric Musculoskeletal Imaging Guidelines
- Pediatric Neck Imaging Guidelines
- Pediatric Neck Imaging Guidelines
- Pediatric Pelvis Imaging Guidelines
- Pediatric Peripheral Nerve Disorders (PND) Imaging Guidelines
- Pediatric Peripheral Vascular Disease (PVD) Imaging Guidelines
- Pediatric Peripheral Vascular Disease (PVD) Imaging Guidelines
- Pediatric Spine Imaging Guidelines
- Pediatric Spine Imaging Guidelines
Post Acute Care Guidelines
Radiation and Medical Oncology Guidelines
Radiation Oncology
Physician Worksheets
- Adrenal Cancer Physician Worksheet
- Anal Canal Cancer Physician Worksheet
- Bile Duct Cancer Physician Worksheet
- Bladder Cancer Physician Worksheet
- Bone Metastases - Xofigo Physician Worksheet
- Bone Metastases Physician Worksheet
- Brain Metastases Physician Worksheet
- Breast Cancer Physician Worksheet
- Central Nervous (CNS) Lymphoma Physician Worksheet
- Central Nervous (CNS) Neoplasm Physician Worksheet
- Cervical Cancer Physician Worksheet
- Endometrial Cancer Physician Worksheet
- Esophageal Cancer Physician Worksheet
- Extracranial Oligometastases Physician Worksheet
- Gallbladder Cancer Physician Worksheet
- Gastric Stomach Cancer Physician Worksheet
- Head and Neck Cancer Physician Worksheet
- Hepatobiliary Cancer Physician Worksheet
- Hodgkin's Lymphoma Physician Worksheet
- Hyperthermia Physician Worksheet
- Kidney Cancer Physician Worksheet
- Liver Cancer Physician Worksheet
- Liver Cancer, Selective Internal Radiation Therapy Physician Worksheet
- Lung Cancer, Small Cell Physician Worksheet
- Multiple Myeloma Physician Worksheet
- Non-Cancerous Radiation Therapy Physician Worksheet
- Non-Hodgkin's Lymphoma Physician Worksheet
- Non-Small Cell Lung Cancer Physician Worksheet
- Other Cancer Types Physician Worksheet
- Other Metastases (Non-Bone/Brain) Physician Worksheet
- Pancreatic Cancer Physician Worksheet
- Prophylactic Cranial Irradiation (PCI) Radiation Therapy Physician Worksheet
- Prostate Cancer Physician Worksheet
- Radiopharmaceuticals Physician Worksheet
- Rectal Cancer Physician Worksheet
- Skin Cancer Physician Worksheet
- Soft Tissue Sarcoma Physician Worksheet
- Testicular Cancer Physician Worksheet
- Ureter/Urethral Cancer Physician Worksheet
- Vulva Cancer Physician Worksheet
Comprehensive Musculoskeletal Management Guidelines
- Clinical Information to Establish Medical Necessity
- Epidural Adhesiolysis (CMM-207) Guideline
- Epidural Steroid Injections (CMM-200) Guideline
- Facet Joint Injections/Medial Branch Blocks (CMM-201) Guideline
- Hip Replacement/Arthroplasty (CMM-313) Guideline
- Hip Surgery Arthroscopic and Open Procedures (CMM-314) Guideline
- Implantable Intrathecal Drug Delivery System (CMM-210) Guideline
- Knee Replacement Arthroplasty (CMM-311) Guideline
- Knee Surgery: Arthroscopic and Open Procedures (CMM-312) Guideline
- Preface to the Comprehensive Musculoskeletal Guidelines
- Prolotherapy (CMM-204) Guideline
- Radiofrequency Joint Ablations/Denervations (CMM-208) Guideline
- Regional Sympathetic Blocks (CMM-209) Guideline
- Sacroiliac Joint Procedures (CMM-203) Guideline
- Shoulder Arthroplasty/ Arthrodesis (CMM-318) Guideline
- Shoulder Surgery (CMM 315) Arthroscopic and Open Procedures Guideline
- Spinal Cord and Dorsal Root Ganglion Stimulation (CMM-211) Guideline - Effective 05/01/2024
- Spinal Cord and Dorsal Root Ganglion Stimulation (CMM-211) Guideline