Outpatient Physical and Occupational Therapy Services
J15 · Effective Oct 1, 2015
10 active Medicare policies list 97763, and 13 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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J15 · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
National · Effective Jan 1, 2026
National · Effective Jan 1, 2026
National · Effective Jan 1, 2026
J6 · Effective Feb 19, 2026
National · Effective Oct 23, 2025
National · Effective Jan 1, 2026
13 policies from 8 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 97763 |
|---|---|---|
| Lower-Limb Prosthetics, Including Microprocessor-Controlled Prosthetics | Jan 1, 2026 | Covered |
| Physical Therapy (PT) and Occupational Therapy (OT) Services | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 97763 |
|---|---|---|
| Lower-Limb Prosthetics, Including Microprocessor-Controlled Prosthetics | Jan 1, 2026 | Covered |
| Physical Therapy (PT) and Occupational Therapy (OT) Services | Jan 1, 2026 | Covered |
National · Effective Oct 1, 2025
| Policy | Effective | Status of 97763 |
|---|---|---|
| Lower-Limb Prosthetics, Including Microprocessor-Controlled Prosthetics | Jan 1, 2026 | Covered |
| Physical Therapy (PT) and Occupational Therapy (OT) Services | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 97763 |
|---|---|---|
| Lower-Limb Prosthetics, Including Microprocessor-Controlled Prosthetics | Jan 1, 2026 | Covered |
| Physical Therapy (PT) and Occupational Therapy (OT) Services | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 97763 |
|---|---|---|
| The Health Plan MSK Chiro Code List | Jan 1, 2026 | Prior auth required |
| The Health Plan MSK PTOT Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 97763 |
|---|---|---|
| Biomechanical Footwear Therapy | Apr 15, 2026 | Not covered |
| Policy | Effective | Status of 97763 |
|---|---|---|
| Physical Therapy Occupational Therapy and Speech Therapy | Apr 14, 2024 | Covered |
| Policy | Effective | Status of 97763 |
|---|---|---|
| EOCCO Specialty Therapies Code List | May 1, 2026 | Prior auth required |