CIGNA earlier this year agreed to pay previously denied claims with add-on codes for computer-aided digital (CAD) mammography originally submitted between January 1 and October 10, 2004. Claims can be resubmitted from June 1 to December 1.

As you know, CIGNA in early 2004 settled CMA’s civil racketeering (RICO) lawsuit, which alleged that for-profit HMOs used fraud and other illegal activities to interfere in the physician-patient relationship. In the settlement, CIGNA specifically agreed, among many other things, to pay all add-on codes from the date they became effective under the CPT system. The codes in question became effective January 1, 2004, but CIGNA did not begin paying those claims until October 10, 2004.

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Contact: CMA's member service center, 800/786-4CMA(4262) or info@cmanet.org.