Cervical Disc Replacement
JJ · Effective Oct 28, 2019
3 active Medicare policies list 97169, and 8 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
National · Effective Jan 1, 2024
8 policies from 5 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 97169 |
|---|---|---|
| Chiropractic Care | Dec 15, 2025 | Not covered |
| Occupational Therapy | Dec 15, 2025 | Not covered |
| Patient Assessments: Medical Necessity Decision Assist Guideline for Evaluations and Re-evaluations | Jul 15, 2026 | Covered with conditions |
| Physical Therapy | Dec 15, 2025 | Not covered |
| Policy | Effective | Status of 97169 |
|---|---|---|
| Physical Therapy (PT) and Occupational Therapy (OT) Services |
| Jan 1, 2026 |
| Covered |
| Policy | Effective | Status of 97169 |
|---|---|---|
| Physical Therapy (PT) and Occupational Therapy (OT) Services | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 97169 |
|---|---|---|
| Physical Therapy (PT) and Occupational Therapy (OT) Services | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 97169 |
|---|---|---|
| Physical Therapy (PT) and Occupational Therapy (OT) Services | Jan 1, 2026 | Covered |