Outpatient Physical and Occupational Therapy Services
J6 · Effective Oct 1, 2015
4 active Medicare policies list 95992, and 6 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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J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
J6 · Effective Feb 19, 2026
National · Effective Jan 1, 2026
6 policies from 6 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 95992 |
|---|---|---|
| Chronic Vertigo | Apr 26, 2023 | Covered |
| Policy | Effective | Status of 95992 |
|---|---|---|
| Physical Therapy (PT) and Occupational Therapy (OT) Services | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 95992 |
|---|---|---|
| Physical Therapy (PT) and Occupational Therapy (OT) Services | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 95992 |
|---|---|---|
| Physical Therapy (PT) and Occupational Therapy (OT) Services | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 95992 |
|---|---|---|
| Physical Therapy (PT) and Occupational Therapy (OT) Services | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 95992 |
|---|---|---|
| The Health Plan MSK PTOT Code List - Effective 01/01/2026 | Jan 1, 2026 | Prior auth required |