Billing and Coding: Outpatient Physical and Occupational Therapy Services
J6 · Effective Apr 1, 2026
2 active Medicare policies list L97.501, and 2 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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J6 · Effective Apr 1, 2026
National · Effective Jun 4, 2026
2 policies from 1 payer
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of L97.501 |
|---|---|---|
| Hammertoe Repair | Sep 13, 2023 | Covered |
| Routine Foot Care | Mar 6, 2023 | Covered |