Outpatient Physical and Occupational Therapy Services
J15 · Effective Oct 1, 2015
11 active Medicare policies list G0281, and 17 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
J5 · Effective Apr 16, 2018
J8 · Effective Apr 16, 2018
National · Effective Jan 1, 2026
J6 · Effective Feb 19, 2026
National · Effective Oct 23, 2025
National · Effective Jan 1, 2026
National · Effective Oct 1, 2025
17 policies from 11 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of G0281 |
|---|---|---|
| Electrical Stimulation for Chronic Ulcers | Sep 15, 2023 | Covered |
| Pulsed Electromagnetic Stimulation | Mar 14, 2023 | Covered |
| Skin and Soft Tissue Substitutes | Feb 9, 2024 | Covered |
| Policy | Effective | Status of G0281 |
|---|---|---|
| Electrostimulation and Electromagnetic Therapy for Treating Wounds | Apr 15, 2026 | Covered |
| Physical Therapy (PT) and Occupational Therapy (OT) Services |
J5 · Effective Oct 1, 2025
| Jan 1, 2026 |
| Covered |
| Policy | Effective | Status of G0281 |
|---|---|---|
| Electrostimulation and Electromagnetic Therapy for Treating Wounds | Apr 15, 2026 | Covered |
| Physical Therapy (PT) and Occupational Therapy (OT) Services | Jan 1, 2026 | Covered |
| Policy | Effective | Status of G0281 |
|---|---|---|
| Electrostimulation and Electromagnetic Therapy for Treating Wounds | Apr 15, 2026 | Covered |
| Physical Therapy (PT) and Occupational Therapy (OT) Services | Jan 1, 2026 | Covered |
| Policy | Effective | Status of G0281 |
|---|---|---|
| Electrostimulation and Electromagnetic Therapy for Treating Wounds | Apr 15, 2026 | Covered |
| Physical Therapy (PT) and Occupational Therapy (OT) Services | Jan 1, 2026 | Covered |
| Policy | Effective | Status of G0281 |
|---|---|---|
| Physical Therapy Occupational Therapy and Speech Therapy | Not recorded | Covered |
| Policy | Effective | Status of G0281 |
|---|---|---|
| Electrical Stimulation Therapy and Devices in a Home Setting | Sep 15, 2026 | Covered |
| Policy | Effective | Status of G0281 |
|---|---|---|
| EOCCO Specialty Therapies Code List - Effective 05/01/2026 | May 1, 2026 | Prior auth required |
| Policy | Effective | Status of G0281 |
|---|---|---|
| Electrical Stimulation for the Treatment of Wounds | Jul 1, 2026 | Covered |
| Policy | Effective | Status of G0281 |
|---|---|---|
| The Health Plan MSK PTOT Code List - Effective 01/01/2026 | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of G0281 |
|---|---|---|
| Habilitation and Rehabilitation Therapy (Occupational, Physical, and Speech) | Jul 1, 2026 | Covered |