Recent Updates

06/07/2019: New Cigna Policy

Effective 07/15/2019, Cigna is implementing a new medical policy regarding Duplex Scan to evaluate carotid artery stenosis. The CPT (Current Procedural Terminology) code affected is: 93880.

Duplex scanning is a type of ultrasound that evaluates the carotid artery for interruptions in blood flow. The policy states that a Duplex Scan to evaluate for carotid artery stenosis is considered medically necessary for ANY of the following indications:

  • Disorders of the carotid artery
  • New or worsening neurologic symptoms, including stroke (i.e., cerebrovascular attack [CVA]), transient ischemic attack (TIA), amaurosis fugax
  • Unilateral motor or sensory deficit, and speech impairment
  • Altered level of consciousness
  • Dementia
  • Seizures
  • Carotid bruit
  • Preoperative evaluation for cardiovascular or carotid surgical procedures
  • Evaluation of the carotid arteries in an individual with a history of carotid disease
  • Suspected carotid artery dissection, fistula, or pseudoaneurysm
  • Malignancy of the carotid body
  • Migraine headache
  • Retinal vein or artery occlusion and hemorrhage
  • Myocardial infarction
  • Coronary artery disease
  • Atrial fibrillation and atrial flutter
  • Intracranial infarction and hemorrhage
  • Dissection of the carotid and thoracic artery

For the full policy, please visit