CLV IntelligenceReimbursement Policy Monitoring

CPT procedure code

97012

Medicare payment

$14.36

2026 Physician Fee Schedule · non-facility

Source: CMS Physician Fee Schedule (PPRRVU 2026). CMS fee schedules ↗ · PFS status indicator A

National amount before geographic adjustment. Your MAC's locality rate will differ.

Code definition

Code

97012

Code system

CPT (Current Procedural Terminology)

This CPT code is not in our curated reference. CPT codes are maintained by the American Medical Association (AMA). Full descriptions require an AMA license.

Category

—

Short description sourced from CMS publicly available fee schedule data. Full CPT descriptions are copyright AMA. Not a substitute for the official CPT codebook.

Policy activity for CPT 97012

CLV Intelligence is tracking 2 policy changes that cite CPT 97012 most recently on 2026-06-05, drawn from 1 LCD/NCD coverage update and 1 MAC LCD revision. The changes span Home Health and Outpatient. 1 is flagged critical or high priority.

LCD/NCD coverage update
1
MAC LCD revision
1

Counts reflect the source documents CLV has matched to CPT 97012 to date; each links to the government publication that is authoritative. Monitored daily from CMS, the Federal Register, and Medicare Administrative Contractor publications.

Policy changes matched to 97012

Matched to this code by CLV analysis of each policy. The linked source document is authoritative.

LCD L34049: Outpatient Physical and Occupational Therapy Services — CGS Administrators

Outpatient · LCD-L34049

Government source· CMS / MACverify ↗
High

Full analysis available with a CLV subscription.

View alert

LCD L33942: Physical Therapy - Home Health — CGS

Home Health · LCD-L33942

Government source· CMS / MACverify ↗
Routine

Full analysis available with a CLV subscription.

View alert

Audit documentation

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