90912 coverage policies: Medicare and commercial payers

8 active Medicare policies list 90912, and 11 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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Medicare policies listing 90912

LCD · CGS-J15-L34049

Outpatient Physical and Occupational Therapy Services

J15 · Effective Oct 1, 2015

LCD · NGS-J6-L33631

Outpatient Physical and Occupational Therapy Services

J6 · Effective Oct 1, 2015

LCD · NGS-JK-L33631

Outpatient Physical and Occupational Therapy Services

JK · Effective Oct 1, 2015

Article · A53064

Billing and Coding: Outpatient Occupational Therapy

National · Effective Jan 1, 2026

Article · A56566

Billing and Coding: Outpatient Physical and Occupational Therapy Services

J6 · Effective Feb 19, 2026

Article · A57067

Billing and Coding: Outpatient Physical and Occupational Therapy Services

National · Effective Oct 23, 2025

Article · A53065

Billing and Coding: Outpatient Physical Therapy

National · Effective Jan 1, 2026

Article · A53352

Billing and Coding: Outpatient Therapy Biofeedback Training

National · Effective Oct 2, 2025

Commercial payer policies listing 90912

11 policies from 10 payers

Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.

Aetna

Aetna policies listing 90912, with the code’s status in each
Policy	Effective	Status of 90912
BiofeedbackPayerPolicy · AETNA-CPB-0132	Mar 24, 2023	Covered
Vulvodynia and Vulvar Vestibulitis TreatmentsPayerPolicy · AETNA-CPB-0759	Oct 26, 2023	Covered

Ambetter

Ambetter policies listing 90912, with the code’s status in each
Policy	Effective	Status of 90912
BiofeedbackPayerPolicy · AMBETTER-CP-MP-168	Not recorded	Covered

Anthem

Anthem policies listing 90912, with the code’s status in each
Policy	Effective	Status of 90912
Biofeedback and Neurofeedback

90912 coverage policies: Medicare and commercial payers

Medicare policies listing 90912

Outpatient Physical and Occupational Therapy Services

Outpatient Physical and Occupational Therapy Services

Outpatient Physical and Occupational Therapy Services

Billing and Coding: Outpatient Occupational Therapy

Billing and Coding: Outpatient Physical and Occupational Therapy Services

Billing and Coding: Outpatient Physical and Occupational Therapy Services

Billing and Coding: Outpatient Physical Therapy

Billing and Coding: Outpatient Therapy Biofeedback Training

Commercial payer policies listing 90912

Aetna

Ambetter

Anthem

90912 coverage policies: Medicare and commercial payers

Medicare policies listing 90912

Outpatient Physical and Occupational Therapy Services

Outpatient Physical and Occupational Therapy Services

Outpatient Physical and Occupational Therapy Services

Billing and Coding: Outpatient Occupational Therapy

Billing and Coding: Outpatient Physical and Occupational Therapy Services

Billing and Coding: Outpatient Physical and Occupational Therapy Services

Billing and Coding: Outpatient Physical Therapy

Billing and Coding: Outpatient Therapy Biofeedback Training

Commercial payer policies listing 90912

Aetna

Ambetter

Anthem

BCBS Illinois

BCBS Montana

BCBS New Mexico

BCBS Oklahoma

Carelon Medical Benefits Management

Cigna

The Health Plan