[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-501767-105":59,"doc-detail-501767-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","cigna-medical-coverage-policy-subject-neuropsychological-testing","Cigna Medical Coverage Policy - Subject Neuropsychological Testing","","Cigna medical coverage policy defines when neuropsychological testing is considered medically necessary and when it is excluded. Coverage is permitted when results will be used for clinical decision-making and when specific significant cognitive or behavioral changes are present alongside reasonable suspicion of defined neurologic conditions such as dementia, CNS infection with neurocognitive problems, demyelinating disease, epilepsy, exposure-related cerebral dysfunction, stroke, or postconcussion syndrome. The policy also lists educational or screening-related indications and certain computerized testing limitations as not covered.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/cigna-medical-coverage-policy-subject-neuropsychological-testing/501767/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/cigna-medical-coverage-policy-subject-neuropsychological-testing/501767.png","ImageObject",300,407,{"name":92,"@type":93},"Mia  ","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-09","2026-10-03",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",15,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"When does Cigna cover neuropsychological testing as medically necessary?","Question",{"text":113,"@type":114},"Cigna covers neuropsychological testing when the information will be used for clinical decision-making and there is a significant mental status or behavioral change or organic brain injury, with reasonable suspicion of specified neurologic conditions.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Which conditions are listed as examples that may justify coverage?",{"text":118,"@type":114},"Examples include brain tumor, cerebral anoxic or hypoxic episodes, CNS infections with neurocognitive problems (e.g., herpes encephalitis, HIV, Lyme disease with CNS involvement), dementia, demyelinating disease, epilepsy/seizure disorders, exposure-related cerebral dysfunction, extrapyramidal diseases, postconcussion syndrome, and stroke or cerebral vascular injury.",{"name":120,"@type":111,"acceptedAnswer":121},"What types of neuropsychological testing are not covered?",{"text":122,"@type":114},"Testing is not covered when considered educational in nature or primarily for screening or educational purposes, including many cases related to ADHD, autism spectrum disorder, learning disability, chronic fatigue syndrome, migraine, mild cognitive impairment, psychiatric conditions, and other exclusions listed in the policy. Computerized neuropsychological testing is also excluded for indications not requiring interpretation by a physician/psychologist/licensed mental health professional.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},501767,1791045901,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":146,"preview_page_count":4},687207024478,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Cigna Medical Coverage Policy   \nSubject Neuropsychological Testing  \nTable of Contents  \nCoverage Policy .................................................. 1  \nGeneral Background ........................................... 2  \nCoding/Billing Information ................................. 16  \nReferences ........................................................ 26  \nEffective Date ............................ 5/15/2014  \nNext Review Date ...................... 7/15/2014  \nCoverage Policy Number ................. 0258  \nHyperlink to Related Coverage Policies  \nAttention-Deficit/Hyperactivity Disorder: Assessment and Treatment  \nAutism Spectrum Disorder/Pervasive Developmental Disorders: Assessment and Treatment  \nCognitive Rehabilitation  \nLyme Disease Treatment—Antibiotic Treatment  \nINSTRUCTIONS FOR USE  \nThe following Coverage Policy applies to health benefit plans administered by Cigna companies including plans formerly administered by Great-West Healthcare, which is now a part of Cigna. Coverage Policies are intended to provide guidance in interpreting certain standard Cigna benefit plans. Please note, the terms of a customer’s particular benefit plan document [Group Service Agreement, Evidence of Coverage, Certificate of Coverage, Summary Plan Description (SPD) or similar plan document] may differ significantly from the standard benefit plans upon which these Coverage Policies are based. For example, a customer’s benefit plan document may contain a specific exclusion related to a topic addressed in a Coverage Policy. In the event of a conflict, a customer’s benefit plan document always supercedes the information in the Coverage Policies. In the absence of a controlling federal or state coverage mandate, benefits are ultimately determined by the terms of the applicable benefit plan document. Coverage determinations in each specific instance require consideration of 1) the terms of the applicable benefit plan document in effect on the date of service; 2) any applicable laws/regulations; 3) any relevant collateral source materials including Coverage Policies and; 4) the specific facts of the particular situation. Coverage Policies relate exclusively to the administration of health benefit plans. Coverage Policies are not recommendations for treatment and should never be used as treatment guidelines. In certain markets, delegated vendor guidelines may be used to support medical necessity and other coverage determinations. Proprietary information of Cigna. Copyright ©2013 Cigna  \nCoverage Policy  \nPlease refer to the applicable benefit plan to determine terms and conditions of coverage. Coverage of neuropsychological testing is generally subject to the provisions of the applicable medical benefit. Services for or in connection with an injury or illness arising out of, or in the course of, any employment for wage or profit are specifically excluded under many benefit plans. Therefore, treatment for metal toxicity that occurs as a result of occupational exposure is generally not covered.  \nCigna covers neuropsychological testing as medically necessary when the information obtained will be used for clinical decision-making and there has been EITHER:  \n• a significant mental status change not due to a metabolic disorder that has not responded to treatment  \n• a significant behavioral change, significant memory loss or organic brain injury  \nand a reasonable suspicion of ANY of the following:  \n• brain tumor  \n• cerebral anoxic or hypoxic episode  \n• central nervous system (CNS) infection with presence of neurocognitive problems (e.g. , herpes encephalitis, human immunodeficiency virus [HIV] infection, Lyme disease with CNS neurological involvement)  \n• dementia (e.g. , Alzheimer’s disease, vascular dementia, Lewy body dementia)  \n• demyelinating disease (e.g. , multiple sclerosis)  \n• epilepsy and seizure disorders  \n• exposure to agents known to be associated with cerebral dysfunction (e.g. , lead poisoning, intrathecal methotrexat","cbCaisbkt0DZkujL","https://ap.wps.com/l/cbCaisbkt0DZkujL","pdf",295993,35,"English","# Coverage Policy\n## General Background\n## Coding/Billing Information\n## References","[{\"question\":\"When does Cigna cover neuropsychological testing as medically necessary?\",\"answer\":\"Cigna covers neuropsychological testing when the information will be used for clinical decision-making and there is a significant mental status or behavioral change or organic brain injury, with reasonable suspicion of specified neurologic conditions.\"},{\"question\":\"Which conditions are listed as examples that may justify coverage?\",\"answer\":\"Examples include brain tumor, cerebral anoxic or hypoxic episodes, CNS infections with neurocognitive problems (e.g., herpes encephalitis, HIV, Lyme disease with CNS involvement), dementia, demyelinating disease, epilepsy/seizure disorders, exposure-related cerebral dysfunction, extrapyramidal diseases, postconcussion syndrome, and stroke or cerebral vascular injury.\"},{\"question\":\"What types of neuropsychological testing are not covered?\",\"answer\":\"Testing is not covered when considered educational in nature or primarily for screening or educational purposes, including many cases related to ADHD, autism spectrum disorder, learning disability, chronic fatigue syndrome, migraine, mild cognitive impairment, psychiatric conditions, and other exclusions listed in the policy. Computerized neuropsychological testing is also excluded for indications not requiring interpretation by a physician/psychologist/licensed mental health professional.\"}]","Cigna Medical Coverage Policy - Subject Neuropsychological Testing | PDF",1791024554,88]