97165 Insurance Policy Changes

CPT 97165, in plain terms, covers A therapist evaluates your occupational therapy needs and abilities in about 30 minutes, with straightforward complexity. CPT 97165 is referenced in 4 tracked payer policy changes from Aetna, Texas Medicaid, and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 97165 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 97165 on AAPC