Alert detail
LCD L33631: Outpatient Physical and Occupational Therapy Services — Wellpoint Federal
What changed
Wellpoint: Outpatient PT/OT coverage criteria active as of Apr 2026
Who’s affected: Outpatient billing teams · Effective: April 1, 2026
Primary source: View the official CMS/MAC document ↗
Get the action steps and full analysis
This change affects 10 billing codes.
The full analysis, the revision comparison and the as-of-date version of this policy are what a partner packet carries. The source document above is free and always will be.