Cigna Hip Osteotomy prior authorization requirements (2026)
What Cigna generally requires to approve Hip Osteotomy (CPT 27146, S2115), for Commercial plans. Yes. Cigna generally requires prior authorization for Hip Osteotomy (CPT 27146, S2115).
Medical-necessity criteria Cigna generally applies
Cigna administers hip osteotomy prior authorization through eviCore CMM-314 (Hip Surgery, Arthroscopic and Open Procedures). Periacetabular/hip osteotomy may be considered medically necessary for symptomatic hip dysplasia with imaging-confirmed acetabular deficiency and preserved joint space, 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 Hip Osteotomy?
Yes. Cigna generally requires prior authorization for Hip Osteotomy (CPT 27146, S2115).
What does Cigna require to approve Hip Osteotomy?
Cigna administers hip osteotomy prior authorization through eviCore CMM-314 (Hip Surgery, Arthroscopic and Open Procedures). Periacetabular/hip osteotomy may be considered medically necessary for symptomatic hip dysplasia with imaging-confirmed acetabular deficiency and preserved joint space, 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 Hip Osteotomy 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.