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Sensory Integration Therapy and Auditory Integration Therapy

Blue Cross & Blue Shield of Mississippi·Occupational Therapy, Physical Therapy, Pediatrics +2 more·Medical Policy
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

This policy update clarifies that both Sensory Integration Therapy and Auditory Integration Therapy remain investigational (not covered) services. The policy description was updated but the coverage determination remains unchanged - these therapies are still considered investigational and not medically necessary.

Action Required

Action needed
Immediately: Billing team should verify that claims for CPT 97533 and HCPCS codes G9041-G9044 (sensory integration and auditory integration therapies) are flagged as investigational/non-covered services. Ensure denial processes are in place and providers are notified that these services remain investigational. Update any internal coverage guidelines to reflect continued non-coverage status.

Affected Billing Codes

97533
G9041
G9042
G9043
G9044