Cigna Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair prior authorization requirements (2026)
What Cigna generally requires to approve Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair (CPT 29914, 29915, 29916, 29860, 29861, 29862, 29863), for Commercial plans. Yes. Cigna generally requires prior authorization for Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair (CPT 29914, 29915, 29916, 29860, 29861, 29862, 29863).
Medical-necessity criteria Cigna generally applies
Cigna administers hip-surgery prior authorization through eviCore CMM-314 (Hip Surgery, Arthroscopic and Open Procedures). Hip arthroscopy for femoroacetabular impingement / labral pathology may be considered medically necessary with documented symptoms, imaging-confirmed FAI or labral tear, and failed appropriate non-operative care, per the indications defined in CMM-314.
Sources & verification
- BindingPayer medical policy.View
Binding = the payer's own policy. Proxy = a public, evidence-based clinical guideline the payer mirrors. Portal-only = the binding criteria are confirmed in the administrator's portal. Always confirm against the payer for the member's specific plan. Last verified 2026-06-13.
Frequently asked questions
Does Cigna require prior authorization for Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair?
Yes. Cigna generally requires prior authorization for Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair (CPT 29914, 29915, 29916, 29860, 29861, 29862, 29863).
What does Cigna require to approve Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair?
Cigna administers hip-surgery prior authorization through eviCore CMM-314 (Hip Surgery, Arthroscopic and Open Procedures). Hip arthroscopy for femoroacetabular impingement / labral pathology may be considered medically necessary with documented symptoms, imaging-confirmed FAI or labral tear, and failed appropriate non-operative care, per the indications defined in CMM-314. Always confirm against the current Cigna policy.
How long does a Cigna prior authorization take?
Turnaround varies by plan and submission method. Check the Cigna portal for current timeframes.
Submitting Arthroscopic Hip Surgery for Impingement Syndrome Including Labral Repair to Cigna?
Praxigen checks your clinical note against these criteria before you submit and drafts a policy-cited appeal if it is denied. You review and submit; nothing is sent automatically.