97162 Insurance Policy Changes

CPT 97162, in plain terms, covers A moderate-complexity physical therapy evaluation lasting about 30 minutes to assess your condition and create a treatment plan. CPT 97162 is referenced in 3 tracked payer policy changes from Texas Medicaid and Nevada Medicaid. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 97162 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 97162 on AAPC