97760 Insurance Policy Changes

CPT 97760, in plain terms, covers Your first appointment where a specialist fits you with a custom support device and teaches you how to use it. CPT 97760 is referenced in 2 tracked payer policy changes from Sentara Health Plans and CareSource. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 97760 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 97760 on AAPC