Manipulation Under Anesthesia - (0276)

Cigna covers a single session of manipulation under anesthesia (MUA) only for adhesive capsulitis refractory to conservative care, postoperative/post‑traumatic knee arthrofibrosis with <90° ROM after failed PT, reduction of displaced fractures and acute/traumatic dislocations, and chronic extremity contractures; serial/repeat sessions, MUA for pain management, and MUA for many spine and other listed peripheral joint indications are considered not medically necessary. Coverage requires documentation of failed conservative management and diagnosis‑specific findings (e.g., <90° knee ROM), that only one isolated‑joint treatment is performed, and correct CPT/diagnosis coding (some CPTs are conditionally covered).

"A single treatment of manipulation under anesthesia (MUA) is considered medically necessary for adhesive capsulitis (i."

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