Scar Revision - (0328)

Cigna covers scar revision only when the scar is due to external trauma, causes a functional impairment, and is treated with compression/pressure therapy, fractional ablative laser (up to six initial treatments; continued only with documented objective improvement), autologous soft-tissue grafting, or intralesional 5‑fluorouracil — most other treatments (e.g., other intralesional injectables, collagen/fat grafting, liposuction, punch grafts, chemical peels, dermabrasion) are cosmetic/not medically necessary and not covered. Coverage requires documentation of traumatic etiology, the functional impairment attributable to the scar, the specific modality(ies) used, appropriate diagnosis/procedure codes, successive objective measures for continued laser beyond six sessions, and is subject to the member’s benefit plan terms and applicable mandates.

"Scar revision is considered medically necessary when ALL of the following criteria apply to the treated scar: (1) is due to a history of external trauma (e."