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CPT 97755: Assistive Technology Assessment and Device Selection
CPT code 97755 covers a direct, one-on-one assistive technology assessment in which a clinician evaluates a patient with a disability to determine appropriate assistive devices and prepares a written assessment report. This service supports device selection for compensation of lost function and is increasingly relevant as the population with mobility and functional impairments grows and technology options expand. Nationally, clear coverage and documentation expectations for 97755 affect access to durable medical equipment and related rehabilitation services.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication summarizes how these payers address coverage, common billing practices, and documentation requirements tied to the assessment and report. Readers will find concise benchmarks on utilization and coding relationships, an overview of documentation elements that typically support reimbursement, and comparisons to related rehabilitation services such as self-care and home management training.
The report provides clinical context for when 97755 is used, the typical outpatient or rehabilitation settings for the service, and how the assessment interfaces with device fitting and follow-up care. It also outlines common ICD-10 diagnoses associated with assistive technology assessments and notes codes commonly billed in related clinical workflows. Data not available in the input is identified where applicable.
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Billing Code Overview
CPT code 97755 describes an assistive technology assessment provided by a qualified clinician. The service involves direct, one-on-one evaluation of a patient with a disability to determine appropriate assistive technology devices that compensate for lost function. The clinician performs hands-on assessment, documents functional needs, and prepares a written assessment report that supports device selection and potential training plans.
Service type: Assistive technology assessment and device selection
Typical site of service: Outpatient clinic or therapy setting, including rehabilitation or specialty clinics where individualized device evaluation and fitting can be performed.
National Reimbursement Benchmarks
Medicare’s mean rate for CPT 97755 sits at $39.10, modestly below BUCA’s average commercial mean of $46.20. This places Medicare near the lower-middle of the national spectrum while BUCA’s mean aligns with other large commercial payers that trend in the mid-$40s to $50s range.
Dispersion measured as P75 minus P25 highlights variation across payers: Blue Cross Blue Shield shows the widest spread at $23.80 ($58.50 - $34.70), followed by Cigna at $35.10 ($62.90 - $27.80) and UnitedHealth Group at $13.10 ($49.70 - $33.60). Aetna’s spread is $10.20 ($33.00 - $22.80), while BUCA’s interquartile range is $21.00 ($53.50 - $31.40). Medicare’s IQR is narrow at $3.00 ($40 - $37).