CIGNA Medical Records Requirements


In response to the protests of organized medicine, CIGNA has determined that it will reduce the mandatory documentation requirements for code combinations with a -25  and -59 modifiers from 17,000 code pairs to approximately 500.  Physicians in North Carolina and across the country had been subjected to the new requirements, greatly increasing administrative costs and delaying payment.  Citing its commitment to “administrative simplification, ” CIGNA will maintain a revised list at  NCMS has received numerous complaints about the new requirements.  All thoughts appreciated.


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