97116 Insurance Policy Changes

CPT 97116, in plain terms, covers A therapist works with you on improving how you walk, balance, and movement patterns. CPT 97116 is referenced in 3 tracked payer policy changes from Humana, Sentara Health Plans, and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 97116 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 97116 on AAPC