97012 Insurance Policy Changes

CPT 97012, in plain terms, covers A therapist uses equipment to gently pull on your spine or joints to relieve pain and reduce pressure. CPT 97012 is referenced in 3 tracked payer policy changes from Sentara Health Plans, Health Net, and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 97012 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 97012 on AAPC