Athletic Pubalgia Surgery - (0522)

Cigna excludes surgical treatment for athletic pubalgia (sports hernia) as experimental, investigational, or unproven and therefore not covered, explicitly listing CPT 27299, 49659, and 49999 as unproven when used for this indication. The policy notes no Medicare NCD/LCD and contains no formal documentation or coverage requirements—background discussion references conservative therapy and imaging (e.g., MRI, radiographs) but these are not stated as payer-required criteria.

"None — surgical treatment for athletic pubalgia is considered experimental, investigational or unproven."

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