97537 Insurance Policy Changes

CPT 97537, in plain terms, covers Therapy focused on helping someone return to their job, school, or regular community activities after an injury or illness. CPT 97537 is referenced in 9 tracked payer policy changes from Colorado Medicaid, Mississippi Medicaid (DOM), and 4 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 97537 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 97537 on AAPC