97035 Insurance Policy Changes

CPT 97035, in plain terms, covers A physical therapy session using ultrasound treatment for pain relief, lasting 15 minutes. CPT 97035 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 97035 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 97035 on AAPC