What insurance policy changes affect CPT 97014?

There are 9 tracked policy changes affecting CPT 97014, including updates from Sentara Health Plans, CareSource, Excellus BlueCross BlueShield. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 97014?

Payers that have issued tracked updates for CPT 97014 include: Sentara Health Plans, CareSource, Excellus BlueCross BlueShield, Blue Cross & Blue Shield of Mississippi, Health Net.

How do I get notified when CPT 97014 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 97014. You will receive a daily digest email whenever a new policy change references this code.

Why do payers change policies for CPT 97014?

Payers revise policies for individual billing codes to align with updated clinical guidelines, CMS rule changes, fraud and abuse prevention measures, or network cost-management goals. Changes can affect medical necessity criteria, place-of-service restrictions, bundling rules, or whether a code requires prior authorization.

97014 — Using electrical impulses applied to your muscles or nerves to reduce pain and promote healing.: Insurance Policy Changes

97014 Insurance Policy Changes

CPT 97014, in plain terms, covers Using electrical impulses applied to your muscles or nerves to reduce pain and promote healing. CPT 97014 is referenced in 9 tracked payer policy changes from Sentara Health Plans, CareSource, and 3 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 97014 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

High impact

Authorization Updates - Effective January 1, 2026

Sentara Health Plans·Effective Jan 1, 2026

Sentara Health Plans is removing prior authorization requirements for 67 specific medical codes effective January 1, 2026, across Medicaid, Medicare, and Commercial products in Virginia. This eliminates pre-certification barriers for common physical therapy, speech-language pathology, gynecological procedures, and other services. Billing teams must update their authorization workflows to reflect these codes no longer require prior auth submission.

97014 Insurance Policy Changes

Authorization Updates - Effective January 1, 2026

[Georgia] Prior Authorization Requirement Update

Pelvic Floor Electrical Stimulation as a Treatment for Urinary or Fecal Incontinence 1.01.19

Transcutaneous Electrical Nerve Stimulator (TENS)

Electrical and Electromagnetic Stimulation for the Treatment of Arthritis

H-Wave Electrical Stimulation

Interferential Current Stimulation

Pelvic Floor Stimulation as a Treatment of Urinary and Fecal Incontinence

24-468m Medical Policies - April 2024