Outpatient Physical and Occupational Therapy Services
J15 · Effective Oct 1, 2015
10 active Medicare policies list 90901, and 34 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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J15 · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
National · Effective Jan 1, 2026
National · Effective Jan 1, 2026
National · Effective Jan 1, 2026
J6 · Effective Feb 19, 2026
National · Effective Oct 23, 2025
National · Effective Jan 1, 2026
34 policies from 14 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 90901 |
|---|---|---|
| Biofeedback as a Treatment of Chronic Pain | Jun 15, 2025 | Covered |
| Biofeedback as a Treatment of Headache | Jan 1, 2026 | Covered |
| Biofeedback as a Treatment of Urinary Incontinence | Jan 1, 2026 | Covered |
| Biofeedback for Miscellaneous Indications | Jan 1, 2026 | Covered |
| Treatment of Tinnitus | Aug 1, 2026 | Covered |
National · Effective Oct 2, 2025
| Policy | Effective | Status of 90901 |
|---|
| Biofeedback as a Treatment of Chronic Pain | Jun 15, 2025 | Covered |
|---|---|---|
| Biofeedback as a Treatment of Headache | Jan 1, 2026 | Covered |
| Biofeedback as a Treatment of Urinary Incontinence | Jan 1, 2026 | Covered |
| Biofeedback for Miscellaneous Indications | Jan 1, 2026 | Covered |
| Treatment of Tinnitus | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 90901 |
|---|---|---|
| Biofeedback as a Treatment of Chronic Pain | Jun 15, 2025 | Covered |
| Biofeedback as a Treatment of Headache | Jan 1, 2026 | Covered |
| Biofeedback as a Treatment of Urinary Incontinence | Jan 1, 2026 | Covered |
| Biofeedback for Miscellaneous Indications | Jan 1, 2026 | Covered |
| Treatment of Tinnitus | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 90901 |
|---|---|---|
| Biofeedback as a Treatment of Chronic Pain | Jun 15, 2025 | Covered |
| Biofeedback as a Treatment of Headache | Jan 1, 2026 | Covered |
| Biofeedback as a Treatment of Urinary Incontinence | Jan 1, 2026 | Covered |
| Biofeedback for Miscellaneous Indications | Jan 1, 2026 | Covered |
| Treatment of Tinnitus | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 90901 |
|---|---|---|
| Autism Spectrum Disorders | Dec 5, 2023 | Covered |
| Tinnitus Treatments | Feb 16, 2024 | Covered |
| Vulvodynia and Vulvar Vestibulitis Treatments | Oct 26, 2023 | Covered |
| Policy | Effective | Status of 90901 |
|---|---|---|
| Attention Deficit Hyperactivity Disorder Assessment and Treatment | Not recorded | Covered |
| Biofeedback | Not recorded | Covered |
| Biofeedback for Behavioral Health Disorders | Not recorded | Covered |
| Policy | Effective | Status of 90901 |
|---|---|---|
| Biofeedback and Neurofeedback | Jul 1, 2026 | Covered |
| Policy | Effective | Status of 90901 |
|---|---|---|
| Physical Therapy Occupational Therapy and Speech Therapy | Not recorded | Covered |
| Policy | Effective | Status of 90901 |
|---|---|---|
| Biofeedback | Nov 15, 2025 | Covered |
| Policy | Effective | Status of 90901 |
|---|---|---|
| EOCCO Specialty Therapies Code List - Effective 05/01/2026 | May 1, 2026 | Prior auth required |
| Policy | Effective | Status of 90901 |
|---|---|---|
| Treatment of Temporomandibular Joint Disorders – Surest Medical Policy | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 90901 |
|---|---|---|
| The Health Plan MSK PTOT Code List - Effective 01/01/2026 | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 90901 |
|---|---|---|
| Treatment of Temporomandibular Joint Disorders | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 90901 |
|---|---|---|
| Treatment of Temporomandibular Joint Disorders | Oct 1, 2026 | Covered |