0718T* prior authorization | Cigna

0718T*, Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; injection into supraspinatus tendon including ultrasound guidance, unilateral, is on the Cigna prior authorization list. Not a coverage or referral decision.

Code: 0718T*
Description: Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; injection into supraspinatus tendon including ultrasound guidance, unilateral
Source: Master Precertification List For Health Care Providers, Pg 14 Original policy

Cigna prior authorization

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