Question 1

What insurance policy changes affect CPT 97115?

Accepted Answer

There are 1 tracked policy change affecting CPT 97115, including updates from CareFirst BlueCross BlueShield. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 97115?

Accepted Answer

Payers that have issued tracked updates for CPT 97115 include: CareFirst BlueCross BlueShield.

Question 3

How do I get notified when CPT 97115 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 97115. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 97115?

Accepted Answer

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.

97115 Insurance Policy Changes

Important Outpatient Therapy and Home Health Prior Authorization Entry Guidelines