97761 Insurance Policy Changes

CPT 97761, in plain terms, covers Your first appointment with a therapist to learn how to use and care for your new prosthetic device. CPT 97761 is referenced in 3 tracked payer policy changes from Sentara Health Plans, CareSource, and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 97761 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 97761 on AAPC