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CPT 0770T virtual reality (VR) technology

The Category III CPT 0770T Virtual reality technology to assist therapy is an add-on code to be used with a variety of CPT codes for ABA, PT, OT and Speech therapy. These codes include:

Adaptive behavior/ABA services: 97153, 97154, 97155, 97158
Speech therapy: 92507, 92508
Therapeutic procedure: 97110, 97112, 97129, 97150, 97530, 97533, 97535, 97537
Psychotherapy: 90832, 90833, 90834, 90836, 90837, 90838, 90847, 90849, 90853
Health and behavior intervention: 96158, 96159, 96164, 96167, 96168, 96170, 96171

CPT 0770T is to be listed separately from and in addition to the code for the primary procedure on claims.  

According to publicly available data made available via the Transparency Act, CPT 0770T has assigned fee schedules or negotiated rates across multiple major payers and all 50 states. 

VR technology is used as an adjunct to the primary therapy, meaning it's integrated into the session to enhance the therapeutic process. 

Practice Expense:

CPT 0770T covers the practice expense associated with the VR technology, including technician time, disposable supplies, and reusable equipment costs. Download our practice expense worksheet here. 

Not Therapist Time:

The code does not incur additional therapist time beyond that already reported with the base therapy code. 

Documentation:

The use of VR technology with CPT 0770T must be clearly documented in the patient's treatment plan and medical record. 

CPT 0770T is intended to accurately represent the use of VR technology as a therapeutic tool, allowing for proper billing and reimbursement for the practice expenses associated with the VR technology.

This information is based on the original CPT 0770T implementation guidance and current payer rate publications available under the Transparency in Coverage rule (Federal Register of the U.S. Government (2020). Transparency in Coverage Rule 85 FR 72158, https://www.federalregister.gov/documents/2020/11/12/2020-24591/transparency-in-coverage). Always consult with your billing specialists, legal counsel, and individual payers regarding specific implementation decisions. This document does not constitute billing, legal, or financial advice.

CPT 0770T

Add-on Code

What is it

A Category III add-on code used to bill for VR technology integrated into therapeutic sessions. It covers practice expenses — not additional therapist time.

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Use With Therapy Codes

  • Adaptive behavior/ABA services: 97153, 97154, 97155, 97158
  • Speech therapy: 92507, 92508
  • Therapeutic procedure: 97110, 97112, 97129, 97150, 97530, 97533, 97535, 97537
  • Psychotherapy: 90832, 90833, 90834, 90836, 90837, 90838, 90847, 90849, 90853
  • Health and behavior intervention: 96158, 96159, 96164, 96165, 96167, 96168, 96170, 96171

 

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Billing Guidelines

  • List 0770T separately in addition to the primary therapy code
  • Do not include extra therapist time — only practice expense
  • Clearly document VR usage in the treatment plan & medical record

 

 

 

 

Coverage

What 0770T Covers

  • Technician support time
  • Disposable supplies
  • Reusable VR equipment

 

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Reimbursement

0770T has assigned or negotiated rates by major payers in all 50 states
(Data from the Transparency Act)

 

 

This information is based on the original CPT 0770T implementation guidance and current payer rate publications available under the Transparency in Coverage rule (Federal Register of the U.S. Government (2020). Transparency in Coverage Rule 85 FR 72158, https://www.federalregister.gov/documents/2020/11/12/2020-24591/transparency-in-coverage). Always consult with your billing specialists, legal counsel, and individual payers regarding specific implementation decisions. This document does not constitute billing, legal, or financial advice.

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