Question 1

What insurance policy changes affect CPT 97124?

Accepted Answer

There are 4 tracked policy changes affecting CPT 97124, including updates from Highmark, Sentara Health Plans, CareSource. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 97124?

Accepted Answer

Payers that have issued tracked updates for CPT 97124 include: Highmark, Sentara Health Plans, CareSource, Nevada Medicaid.

Question 3

How do I get notified when CPT 97124 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 97124. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 97124?

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.

97124 Insurance Policy Changes

Reimbursement Update: Massage Therapy CPT Code 97124

Authorization Updates - Effective January 1, 2026

[Georgia] Prior Authorization Requirement Update

Updates to Limitation Error Codes