97755 coverage policies: Medicare and commercial payers

11 active Medicare policies list 97755, 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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Medicare policies listing 97755

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 · A53053

Billing and Coding: CPT Code 97755 - Assistive Technology Assessment

National · Effective May 19, 2022

Article · A53057

Billing and Coding: Home Health Occupational Therapy

National · Effective Oct 1, 2026

Article · A53058

Billing and Coding: Home Health Physical Therapy

National · Effective Oct 1, 2026

Article · A53064

Billing and Coding: Outpatient Occupational Therapy

National · Effective Oct 1, 2026

Article · A56566

Billing and Coding: Outpatient Physical and Occupational Therapy Services

J6 · Effective Apr 1, 2026

Article · A57067

Billing and Coding: Outpatient Physical and Occupational Therapy Services

National · Effective Jun 4, 2026

Article · A53065

Billing and Coding: Outpatient Physical Therapy

Commercial payer policies listing 97755

9 policies from 9 payers

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

BCBS Illinois

BCBS Illinois policies listing 97755, with the code’s status in each
Policy	Effective	Status of 97755
Physical Therapy (PT) and Occupational Therapy (OT) ServicesPayerPolicy · BCBSIL-THE803.010	Jan 1, 2026	Covered

BCBS Montana

BCBS Montana policies listing 97755, with the code’s status in each
Policy	Effective	Status of 97755
Physical Therapy (PT) and Occupational Therapy (OT) ServicesPayerPolicy · BCBSMT-THE803.010	Jan 1, 2026	Covered

BCBS New Mexico

BCBS New Mexico policies listing 97755, with the code’s status in each
Policy	Effective	Status of 97755
Physical Therapy (PT) and Occupational Therapy (OT) ServicesPayerPolicy · BCBSNM-THE803.010	Jan 1, 2026

97755 coverage policies: Medicare and commercial payers

Medicare policies listing 97755

Outpatient Physical and Occupational Therapy Services

Outpatient Physical and Occupational Therapy Services

Outpatient Physical and Occupational Therapy Services

Billing and Coding: CPT Code 97755 - Assistive Technology Assessment

Billing and Coding: Home Health Occupational Therapy

Billing and Coding: Home Health Physical Therapy

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

Commercial payer policies listing 97755

BCBS Illinois

BCBS Montana

BCBS New Mexico

97755 coverage policies: Medicare and commercial payers

Medicare policies listing 97755

Outpatient Physical and Occupational Therapy Services

Outpatient Physical and Occupational Therapy Services

Outpatient Physical and Occupational Therapy Services

Billing and Coding: CPT Code 97755 - Assistive Technology Assessment

Billing and Coding: Home Health Occupational Therapy

Billing and Coding: Home Health Physical Therapy

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

Commercial payer policies listing 97755

BCBS Illinois

BCBS Montana

BCBS New Mexico

Billing and Coding: Physical Therapy - Home Health

BCBS Oklahoma

Carelon Medical Benefits Management

Cigna

EOCCO / Moda Health

The Health Plan

UnitedHealthcare Medicare Advantage