Beginning November 1, 2024, EviCore by Evernorth^® will begin managing precertification for certain Current Procedural Terminology (CPT^®) codes for cardiac and vascular intervention procedures for Cigna Healthcare^℠ customers. Precertification is required for our customers who receive these services in an office, inpatient or outpatient setting.

How to request precertification

The newly added vascular intervention procedures will be managed on the CareCore portal. Both the MedSolutions and CareCore portals are accessible through the EviCore provider portal.

Use the contact information below to submit precertification requests:

Procedures included in the program

The program includes precertification for various procedures to treat arterial and venous disease. Arterial disease can affect multiple vessels across the body, including the brain, abdomen, and upper and lower extremities. The program also addresses less common peripheral arterial diseases, such as arteriovenous malformations and vascular compression syndromes.

For a complete list of CPT codes included in this program, go to EviCore.com/resources/healthplan/Cigna > Solution Resources > Cardiac & Vascular Intervention > Vascular interventions code list.

Provider orientation sessions

In October and November, EviCore will lead online sessions to help you and your staff understand the new precertification process. These sessions will include detailed information about the process, a review of how to access information on EviCore.com, and a question-and-answer period.

Please refer to these additional details and registration instructions. We encourage you and your staff to attend one of these sessions to ensure understanding of the precertification program requirements.

Additional information

• Medical coverage guidelines: eviCore.com/cignaguideline
• Resources: eviCore.com/resources/healthplan/Cigna > Solution Resources > Cardiac & Vascular Intervention
• Clinical support: EviCore welcomes requests for clinical discussions.
  • Telephone: 866.668.9250
  • Portal: EviCore.com/provider/requests-a-clinical-consultation