Information about the Cigna Dental Clinical Coverage Determination Guidelines relied upon in making benefit determinations is available immediately at CignaforHCP.com > Resources > Reference Guides. The 2025 versions of the DHMO and DPPO documents are now available. There are no adverse material changes to the determination guidelines for 2025. However, various coverage clarifications and edits have been made to various policies. These updates include any CDT 2025 updates. Updates will include the following:
- DHMO
- Additional clarification of existing requirements added to policy PERIO-01.
- Additional clarification of existing requirements added to policy OS-01.
- Grammatical edit to policy OS-11.
- Additional clarification of existing requirements added to policy OS-14.
- Added additional procedure code to policy OR-01.
- Additional clarification of existing requirements added to policy ADJ-01 and ADJ-02.
- DPPO
- Additional clarification of existing requirements added to policy REST-07.
- Additional clarification of existing requirements added to policy PERIO-18.
- Grammatical edit to policy OS-03.
- Additional clarification of existing requirements added to policy OS-04.
- Added additional procedure code to policy OR-01.
- Additional clarification of existing requirements added to policy ADJ-01 and ADJ-02.
You may also request this information by contacting Customer Service at 800.Cigna24 (800.244.6224). A copy will be provided to you or your authorized representative free of charge, or you can access these documents by selecting the links in the resource section at the bottom of the Dental Digital Newsroom Homepage.