Cervical Disc Replacement
JJ · Effective Oct 28, 2019
11 active Medicare policies list 97164, and 9 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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JJ · Effective Oct 28, 2019
JM · Effective Oct 28, 2019
J15 · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
National · Effective Jan 1, 2024
National · Effective Oct 1, 2026
J6 · Effective Apr 1, 2026
National · Effective Jun 4, 2026
9 policies from 9 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 97164 |
|---|---|---|
| Physical Therapy (PT) and Occupational Therapy (OT) Services | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 97164 |
|---|---|---|
| Physical Therapy (PT) and Occupational Therapy (OT) Services | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 97164 |
|---|---|---|
| Physical Therapy (PT) and Occupational Therapy (OT) Services | Jan 1, 2026 |
National · Effective Oct 1, 2026
National · Effective Aug 6, 2026
| Policy | Effective | Status of 97164 |
|---|---|---|
| Physical Therapy (PT) and Occupational Therapy (OT) Services | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 97164 |
|---|---|---|
| Physical Therapy, Occupational Therapy, and Speech Therapy | Apr 14, 2024 | Covered |
| Policy | Effective | Status of 97164 |
|---|---|---|
| Patient Assessments: Medical Necessity Decision Assist Guideline for Evaluations and Re-evaluations | Jul 15, 2026 | Covered with conditions |
| Policy | Effective | Status of 97164 |
|---|---|---|
| EOCCO Specialty Therapies Code List | May 1, 2026 | Prior auth required |
| Policy | Effective | Status of 97164 |
|---|---|---|
| The Health Plan MSK PTOT Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 97164 |
|---|---|---|
| Skilled Nursing Facility, Rehabilitation, Long-Term Acute Care Hospital, and Private Duty Nursing | Not recorded | Covered |