CPT Code 97799: Unlisted Physical Medicine/ Rehabilitation Service or Procedure

Yes, if no specific CPT code adequately describes the tele-rehabilitation service and it meets medical necessity with supporting documentation.

Not always. Insurance coverage for unlisted codes like 97799 is payer-dependent. Strong justification, including clinical value, medical necessity, and comparable service descriptions, is essential for approval.

No. CPT code 97799 is not time-based. It is considered an event-based or procedure-based code and requires manual pricing and review by the payer.