Cigna eap billing 2025

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An EAP is a benefit that is paid for by the company to assist employees and their household members in obtaining help for a wide variety of issues. 11- These problems may include: issues with family, alcohol, drugs, emotions, stress, legal or financial questions.
CPT 99403, Under Preventive Medicine, Individual Counseling. The Current Procedural Terminology (CPT) code 99403 as maintained by American Medical Association, is a medical procedural code under the range - Preventive Medicine, Individual Counseling.
For all EAP sessions (including SAP referrals), you should submit your claims utilizing the CPT code 99404. Claims must be submitted with the correct/current ICD-10-CM Diagnosis codes.
Cigna requires: Use the CPT Code 99404 in order to indicate the sessions is billed under EAP.
No yearly visit limit, up to 12 counseling sessions per issue at no cost to employees. 24/7 access to coaching support via text. Digital self-guided tools to address stress and resiliency.
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Our Employee Assistance Program (EAP) provides access to work/life resources, and licensed clinicians. They can help you cope with a wide variety of concerns, from family and financial issues to substance use, emotional health, and stress. EAP services are also available to anyone in your household.

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