Traditional MedicareCoverageMedium impact
Outpatient Physical and Occupational Therapy Services
Medicare/CMS - LCD·Physical Therapy, Occupational Therapy, PM&R (Physical Medicine & Rehab)·Local Coverage Determination
Effective date
Apr 1, 2026
We identified it
Jul 28, 2026
Summary
Cannot provide analysis - the policy document content was not included in the submission. While the metadata indicates this is LCD L33631 for Outpatient Physical and Occupational Therapy Services from WellPoint Federal (effective 4/1/2026), the actual policy text/requirements are missing. To deliver accurate billing guidance, the full policy content must be provided.
Action Required
URGENT: Obtain the complete policy text from the CMS Medicare Coverage Database link provided (https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33631&ver=52). Forward full policy content to billing team, clinical leadership, and physical/occupational therapy providers for detailed review and workflow impact assessment. Do not implement billing changes until complete policy details are reviewed.