Cigna to Implement Payment Reduction When Services are Billed with CQ/CO Modifier

August 29, 2022
Rick Gawenda

Cigna has announced they will be implementing the 15% payment reduction when services are rendered in whole or in part by a physical therapist assistant or an occupational therapy assistant. CPT codes billed with the CQ or CO modifier appended to them on the claim form will have their reimbursement decreased by 15% beginning on

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  1. I work at a CAH in Texas. Did Cigna indicate if this payment reduction change would affect all outpatient services, regardless of hospital type?

    1. I would recommend you login and read the applicable Cigna policy regarding this change. If you have questions, please contact Cigna.