Prior Auth Required

97124 - An initial Physical Therapy Evaluation – Massage, including effleurange, petrissage and/or

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceAn initial Physical Therapy Evaluation – Massage, including effleurange, petrissage and/or
Procedure / Service Description

Physical Therapy Codes for Medi-Cal Lines of Business (if CPT criteria met) - Physical Therapy Codes for Medi-Cal Lines of Business (if CPT criteria met) 99243 An initial Physical Therapy Evaluation – 97124 Massage, including effleurange, petrissage and/or requires a referral from the member’s linked tapotement (stroking, compression, percussion) Primary Care Physician (PCP) or treating

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.