Questions About Coverage? We’re Here to Help.

Our administrative team can confirm your benefits and walk you through your plan’s occupational therapy coverage.

Accepted Insurances & Billing Information

At Whole Health Therapy Group, we believe high-quality therapy should be accessible and transparent. We accept a range of insurance plans and help patients navigate their coverage with ease — so you can focus on recovery, not paperwork.

We Accept or Are Credentialing With the Following Plans:

Medicare Part B

Outpatient occupational therapy under physician referral.

VA Community Care (Optum / TriWest)

Serving eligible veterans following Medicare fee schedules.

Maryland Medicaid

Limited programs; therapy billed per CPT, PRP services billed by licensed PRP agencies.

Simple, Transparent Billing Process

Before your first visit, our team verifies your benefits and coverage for outpatient occupational therapy.

Verification

We handle claim documentation, coding, and submission directly to your insurer — minimizing your administrative burden.

Documentation & Submission

For individuals attending day programs, we deliver goal-oriented therapy focused on energy conservation, fine motor skills, and social participation.

Patient Responsibility

Common Occupational Therapy CPT Codes

97530: Therapeutic Activities – functional, task-based therapy to improve mobility, strength, and safety.

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Common Occupational Therapy CPT Codes

97535: Self-Care / Home Management Training – support for dressing, bathing, cooking, and home routines.

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Common Occupational Therapy CPT Codes

97129: Cognitive Function Training – primary code for attention, memory, and executive function rehab.

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Common Occupational Therapy CPT Codes

97130: Cognitive Function Add-On – additional time-based billing for complex cases

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Common Occupational Therapy CPT Codes

97112: Neuromuscular Re-education – balance, coordination, and motor control training.

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Important Coverage Information

Insurance coverage varies based on medical necessity, diagnosis, and plan type.
Our staff verifies eligibility before initiating care and will communicate any out-of-pocket costs upfront.

Note: Whole Health Therapy Group complies with all Medicare and payer documentation requirements.
We do not provide emergency medical services

For emergencies, please dial 911.