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The new evaluation codes (97165, 97166, and 97167) will replace CPT® code 97003 and offer three levels of an occupational therapy evaluation: low, moderate, and high. There is one re-evaluation code (97168).
Each year, AOTA compiles a list of the CPT® codes frequently used by occupational therapy practitioners to report services in various settings. AOTA members can use this list to find the most commonly used codes for evaluations, modalities, therapeutic procedures, and more.
18 Οκτ 2024 · 92526: Treatment of swallowing dysfunction and/or oral function for feeding. 💯 Practical Advice. For additional resources, check out the AMA’s 2024 Commonly Used OT CPT Codes or AOTA’s Coding and Billing Resources. Don’t miss our guide to ICD-10 Codes for Occupational Therapy and the Most Common Codes and Billing Modifiers in Rehab ...
Occupational therapy evaluations include the following components: * Occupational profile and client history (medical and therapy); *Assessments of occupational performance; *Clinical decision making; *Development of plan of care.
The evaluation includes an occupational profile, extensive review of medical and therapy history including therapy relating to a current problem, and evaluation of five or more physical, cognitive, or psychosocial performance factors that limit activity or restrict participation.
The Current Procedural Terminology (CPT®) 2017 code set includes significant revisions to the coding and descriptions for occupational therapy evaluation and re-evaluation services in the Medicine/Physical Medicine and Rehabilitation subsection.
An occupational therapy Re-evaluation CPT code is typically used every 12 months, or when a client has made significant progress and it’s time to reassess if the client has a continued need for occupational therapy. There is one code for re-evaluation that OTs use. CPT code 97168 - Occupational Therapy Re-evaluation.
