97010 Insurance Policy Changes

CPT 97010, in plain terms, covers Applying heated or chilled packs to your body to reduce pain and improve comfort during physical therapy treatment. CPT 97010 is referenced in 6 tracked payer policy changes from Sentara Health Plans, Health Net, and 2 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 97010 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 97010 on AAPC