Laboratory Testing Services - (0604)

Cigna covers laboratory tests and panels only when medically necessary and shown to affect clinical management; tests are excluded if they fail the policy criteria — including population screening without signs/symptoms, duplicative testing, or those designated experimental/investigational/unproven (e.g., PreTRM 0247U, Immunoscore 0261U, NaviDKD 0384U, IGoCheck 0558U, MammoCheck 0559U and many listed CPT/PLA codes). Key requirements: tests must have analytic and clinical validity supported by peer‑reviewed evidence or USPSTF A/B/professional guidance, be ordered per the manufacturer’s intended use by a qualified clinician actively managing the patient, be FDA‑cleared/approved or done in a credentialed/CLIA lab, not be primarily for convenience, and must demonstrably impact clinical decision‑making.

"If the test, condition or indication is addressed by another Cigna Coverage Policy, please use the more specific policy."